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JaimeML

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snomed-entity-challenge

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###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: ADMISSION PHYSICAL EXAM: Vitals: 101.4 117 108/70 35 93% 2L General: Alert, oriented, mild blanching erythema throughout chest/trunk/extremities, no acute distress HEENT: dry MM, OC/OP clear Neck: supple, no LAD, no JVP CV: Tachycardic, regular rhythm, normal S1/S2, no m/r/g Lungs: Tachypneic, clear to auscultation bilaterally, no w/r/r Abdomen: soft, non-tender, mildly distended, hypoactive bowel sounds, no organomegaly, no rebound or guarding GU: foley in place Ext: Warm, well perfused, 2+ pulses, no c/c/e Neuro: CN II-XII intact, ___ strength upper/lower extremities DISCHARGE PHYSICAL EXAM: AVSS Lungs clear with very scant coarse sounds at right base Very Mild RLQ tenderness ###RESPONSE: Physical Exam {Physical examination procedure}, PHYSICAL EXAM {Physical examination procedure}, Vitals {Vital signs finding}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, erythema {Erythema}, chest {Thoracic structure}, trunk {Trunk structure}, extremities {Examination of limb}, distress {Distress}, HEENT {Physical examination procedure}, dry MM {Mucous membrane dryness}, OP clear {Pharynx normal}, Neck {Physical examination procedure}, supple {Normal movement of neck}, LAD {Lymphadenopathy}, JVP {Finding of jugular venous pressure}, CV {Cardiovascular physical examination}, Tachycardic {Tachycardia}, regular rhythm {Normal sinus rhythm}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, no m/r/g {Heart sounds normal}, Lungs {Examination of respiratory system}, Tachypneic {Tachypnea}, clear to auscultation bilaterally {Normal breath sounds}, no w/r/r {Normal breath sounds}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, hypoactive bowel sounds {Decreased bowel sounds}, organomegaly {Abdominal organomegaly}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, GU {Examination of genitourinary system}, foley in place {Urinary catheter in situ}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, Neuro {Neurological examination}, CN II-XII intact {Normal central nervous system}, upper {Upper limb structure}, lower extremities {Lower limb structure}, PHYSICAL EXAM {Physical examination procedure}, AVSS {Vital signs finding}, Lungs {Examination of respiratory system}, clear {Chest clear}, right base {Structure of base of right lung}, RLQ tenderness {Tenderness of right lower quadrant of abdomen}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ADMISSION LABS: ___ 09:37AM BLOOD WBC-12.8*# RBC-3.78* Hgb-10.2*# Hct-32.5*# MCV-86 MCH-26.9*# MCHC-31.4 RDW-16.4* Plt ___ ___ 09:37AM BLOOD Neuts-91* Bands-3 Lymphs-2* Monos-3 Eos-0 Baso-0 ___ Metas-1* Myelos-0 ___ 09:37AM BLOOD ___ PTT-35.4 ___ ___ 09:37AM BLOOD Glucose-105* UreaN-23* Creat-1.9*# Na-133 K-5.0 Cl-99 HCO3-22 AnGap-17 ___ 09:37AM BLOOD ALT-19 AST-20 AlkPhos-101 TotBili-0.8 ___ 09:37AM BLOOD Albumin-3.4* Calcium-8.8 Phos-2.1* Mg-2.2 ___ 02:42PM BLOOD T4-5.9 T3-84 calcTBG-0.75* TUptake-1.33* T4Index-7.8 ___ 09:37AM BLOOD TSH-0.71 ___ 09:37AM BLOOD Cortsol-51.8* ___ 09:53AM BLOOD Lactate-2.0 ___ 03:19AM BLOOD Lactate-1.3 ___ 02:34PM BLOOD O2 Sat-62 ___ 03:19AM BLOOD O2 Sat-87 DISCHARGE LABS: ___ 07:10AM BLOOD WBC-5.7 RBC-3.37* Hgb-9.0* Hct-28.6* MCV-85 MCH-26.8* MCHC-31.6 RDW-17.6* Plt ___ ___ 07:10AM BLOOD ___ ___ 07:10AM BLOOD Glucose-84 UreaN-17 Creat-0.7 Na-141 K-3.9 Cl-105 HCO3-30 AnGap-10 ___ 08:20AM BLOOD Calcium-8.3* Phos-2.6* Mg-2.5 ___ ___ M ___ ___BD & PELVIS W/O CONTRAST Study Date of ___ 4:12 ___ ___ ___ 4:___BD & PELVIS W/O CONTRAST; -77 BY DIFFERENT PHYSICIAN ___ # ___ Reason: Eval retroperitoneal process as seen on previous CT scan. PO UNDERLYING MEDICAL CONDITION: History: ___ with fevers and RLQ tenderness REASON FOR THIS EXAMINATION: Eval retroperitoneal process as seen on previous CT scan. PO contrast already given CONTRAINDICATIONS FOR IV CONTRAST: Wet Read: ___ ___ 7:03 ___ 1. Minimal asymmetric right perinephric stranding. Please correlate with urinalysis. 2. Normal appendix. 3. Unchanged nonspecific right retroperitoneal stranding extending along the right iliac vessels. 4. 5 mm left lower lobe pulmonary nodule should be followed in ___ months if the patient is at high risk for lung malignancy. Final Report HISTORY: ___ male with fevers and right lower quadrant tenderness. COMPARISON: Same day CT of in ___. TECHNIQUE: MDCT images were obtained from the lung bases to the pubic symphysis after administration of oral contrast. IV contrast was not administered. This examination was repeated since a CT performed at 12:00 in order to better visualize the appendix. Axial images were interpreted in conjunction with coronal and sagittal reformats. FINDINGS: Coronary artery calcifications are similar to prior. Bibasilar atelectasis is unchanged. 5 mm left lower lobe nodule should be followed as previously recommended. No pleural or pericardial effusion. ABDOMEN: Evaluation of the intra-abdominal organs is limited by lack of IV contrast administration. The unenhanced appearance of the liver, gallbladder, intra and extrahepatic bile ducts, pancreas, spleen, and adrenal glands is normal. There is minimal asymmetric right perinephric stranding and thickening of Gerota's fascia. The ureters have a normal course and caliber. No calculi are seen within the kidneys or ureters, and no hydronephrosis is present. The stomach is normal. The small and large bowel have a normal course and calibur. The appendix is not dilated and the base of the appendix contains oral contrast, though the remainder of the appendix does not fill with oral contrast. No stranding is noted about the appendiceal tip. Right retroperitoneal stranding extending from the right lateral conal fascia along the right iliac vessels is unchanged and nonspecific. No focal fluid collection is present. No retroperitoneal or mesenteric lymphadenopathy. The unenhanced appearance of the portal and intra-abdominal systemic vasculature is unremarkable. No abdominal wall hernia, pneumoperitoneum, or free intraperitoneal fluid. PELVIS: The bladder contains a Foley catheter. The terminal ureters are normal. The prostate gland is unremarkable. No pelvic side-wall or inguinal lymphadenopathy. No free pelvic fluid or inguinal hernia. OSSEOUS STRUCTURES: No focal lytic or sclerotic lesion concerning for malignancy. Retrolisthesis of L5 on S1. Mild multilevel thoracolumbar spine degenerative changes. CT Abd and Pelvis IMPRESSION: 1. Minimal asymmetric right perinephric stranding and thickening of Gerota's fascia, which can be seen with pyelonephritis. Clinical correlation with urinalysis recommended. 2. Unchanged right retroperitoneal stranding extending along the right iliac vessels, non-specific. Findings could relate to urinary tract infection. 3. Normal appendix. 4. 5 mm left lower lobe pulmonary nodule should be re-assessed in 12 months if there is low risk of lung malignancy or in ___ months there is high risk. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Neuts {Neutrophil count}, Lymphs {Lymphocyte count}, Monos {Monocyte count}, Eos {Eosinophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, TSH {Thyroid stimulating hormone measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, PELVIS W/O CONTRAST {Computed tomography of pelvis without contrast}, PELVIS W/O CONTRAST {Computed tomography of pelvis without contrast}, CT scan {Computed tomography of abdomen}, fevers {Fever}, RLQ tenderness {Tenderness of right lower quadrant of abdomen}, CT scan {Computed tomography of abdomen}, IV {Intravenous therapy}, right {Structure of right half of body}, perinephric {Structure of perirenal region}, urinalysis {Urinalysis}, appendix {Appendix structure}, right {Structure of right half of body}, retroperitoneal {Retroperitoneal compartment structure}, right iliac vessels {Structure of right iliac vessel}, left lower lobe {Structure of lower lobe of left lung}, pulmonary nodule {Nodule of lung}, lung malignancy {Metastatic malignant neoplasm to lung}, fevers {Fever}, right lower quadrant tenderness {Tenderness of right lower quadrant of abdomen}, lung bases {Structure of base of lung}, pubic symphysis {Structure of epiphysis of pubis}, oral {Administration of drug or medicament via oral route}, IV {Intravenous therapy}, appendix {Appendix structure}, Coronary artery calcifications {Calcification of coronary artery}, Bibasilar {Structure of base of lung}, atelectasis {Atelectasis}, left lower lobe {Structure of lower lobe of left lung}, nodule {Nodule of lung}, pleural {Pleural effusion}, pericardial effusion {Pericardial effusion}, ABDOMEN {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, Evaluation {Evaluation procedure}, abdominal {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, IV {Intravenous therapy}, liver {Liver structure}, gallbladder {Gallbladder structure}, intra {Intrahepatic biliary tract structure}, extrahepatic bile ducts {Extrahepatic duct structure}, pancreas {Pancreatic structure}, spleen {Splenic structure}, adrenal glands {Bilateral adrenal glands}, perinephric {Structure of perirenal region}, thickening {Increased thickness}, fascia {Structure of fascia}, ureters {Ureteric structure}, calculi {Calculus}, kidneys {Kidney structure}, ureters {Ureteric structure}, hydronephrosis {Hydronephrosis}, stomach {Stomach structure}, small {Structure of small intestine}, large bowel {Structure of large intestine}, appendix {Appendix structure}, dilated {Dilatation}, appendix {Appendix structure}, oral {Administration of drug or medicament via oral route}, appendix {Appendix structure}, oral {Administration of drug or medicament via oral route}, Right {Structure of right half of body}, retroperitoneal {Retroperitoneal compartment structure}, fascia {Structure of fascia}, right iliac vessels {Structure of right iliac vessel}, retroperitoneal {Retroperitoneal lymphadenopathy}, mesenteric lymphadenopathy {Mesenteric lymphadenopathy}, abdominal {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, unremarkable {No abnormality detected}, abdominal wall {Structure of wall of abdominal proper segment of trunk}, hernia {Herniated structure}, pneumoperitoneum {Pneumoperitoneum}, PELVIS {Structure of pelvis}, bladder {Urinary bladder structure}, Foley catheter {Urinary catheter in situ}, ureters {Ureteric structure}, prostate gland {Prostatic structure}, unremarkable {No abnormality detected}, pelvic side-wall {Pelvic lymphadenopathy}, inguinal lymphadenopathy {Inguinal lymphadenopathy}, pelvic {Structure of pelvis}, inguinal hernia {Inguinal hernia}, OSSEOUS STRUCTURES {Bone structure}, lytic {Lysis}, sclerotic {Sclerosis}, lesion {Lesion}, malignancy {Malignant neoplasm}, Retrolisthesis {Retrolisthesis}, thoracolumbar {Structure of thoracic and/or lumbar region of back}, spine {Structure of vertebral column}, degenerative changes {Degeneration of spine}, CT Abd and Pelvis {Computed tomography of abdomen and pelvis}, right {Structure of right half of body}, perinephric {Structure of perirenal region}, thickening {Increased thickness}, fascia {Structure of fascia}, pyelonephritis {Pyelonephritis}, urinalysis {Urinalysis}, right {Structure of right half of body}, retroperitoneal {Retroperitoneal compartment structure}, right iliac vessels {Structure of right iliac vessel}, urinary tract infection {Urinary tract infectious disease}, appendix {Appendix structure}, left lower lobe {Structure of lower lobe of left lung}, pulmonary nodule {Nodule of lung}, lung malignancy {Metastatic malignant neoplasm to lung}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: ___ with hyperthyroidism on methimazole, Kawasaki's on warfarin, presenting with one week of intermittent fevers, lethargy, and RLQ pain, found to be in septic shock of unclear etiology: # Septic shock ___ pyelonephritis: The patient meet SIRS criteria with fever, leukocytosis, tachycardia, tachypnea, also hypotensive with likely source urinary given concerning UA (RBC-4, WBC-93, no epi's) and perinephric/retroperitoneal stranding on CT. The patient was bolus 6L of NS and started a levophed gtt in the ED. A central line was placed in the ED. The CVP was resusitated to >12, and MAP remained >65 on levophed. His BP quickly improved and he was weaned from the levophed gtt. He was initially given vancomycin and zosyn in the ED, which was narrowed to cefepime on arrival to the FICU. He developed a morbilliform rash after recieving vancomycin and zosyn in the ED. He remained off pressors for over 48 hour and was admitted to a medical floor bed. After 3 days, his antibiotics were narrowed to levofloxacin. Blood and Urine cultures had no growth to date at that time. The patient was discharged on 7 day additional days of Levofloxacin for a full 14d treatment for pylenonephritis due to septic shock. # ___: Cr 1.9 in ED secondary to shock, which resolved to baseline after fluid resusitation. # Hyperthyroidism: The patient was followed by endocrinology will inpatient after a recent diagnosis of Grave's Disease. He was continued on his home propranolol, but the home dose of methimazole was held. The patient will need to follow up with endocrinology with 1 week of discharge. # Kawasaki's disease: He was continued on his home coumadin and quinapril. An Echo was obtained that revealed a normal EF with mild aortic valve stenosis. The patients INR on d/c was 3.7 given interaction with Coumadin. The patient will hold his Coumadin for 2 nights and have his INR checked on ___ at the ___. # Alcohol use: He denies a history of withdrawal, DTs, or seizures in previous hospitalizations. e was initially started on a CIWA, but was discontinued after not scoring for the duration of his hospitalization. # HLD: continued ezetimibe, held lipitor per endocrinology. # Gout: well controlled, continued home allopurinol # Pulmonary Nodule: Please see above. ###RESPONSE: hyperthyroidism {Hyperthyroidism}, Kawasaki's {Acute febrile mucocutaneous lymph node syndrome}, intermittent fevers {Intermittent fever}, lethargy {Lethargy}, septic shock {Septic shock}, Septic shock {Septic shock}, pyelonephritis {Pyelonephritis}, SIRS {Systemic inflammatory response syndrome}, fever {Fever}, leukocytosis {Leukocytosis}, tachycardia {Tachycardia}, tachypnea {Tachypnea}, hypotensive {Low blood pressure}, urinary {Urinary system structure}, UA {Urinalysis}, perinephric {Structure of perirenal region}, retroperitoneal {Retroperitoneal compartment structure}, CT {Computed tomography}, resusitated {Resuscitation}, BP {Blood pressure finding}, improved {Patient's condition improved}, vancomycin {Antibiotic therapy}, morbilliform rash {Morbilliform rash}, vancomycin {Antibiotic therapy}, pressors {Hypotensive therapy}, antibiotics {Antibiotic therapy}, Urine cultures {Urine culture}, pylenonephritis {Pyelonephritis}, septic shock {Septic shock}, shock {Septic shock}, baseline {Baseline state}, fluid resusitation {Administration of fluid therapy}, Hyperthyroidism {Hyperthyroidism}, Grave's Disease {Graves' disease}, Kawasaki's disease {Acute febrile mucocutaneous lymph node syndrome}, Echo {Echocardiography}, mild aortic valve stenosis {Mild stenosis of aortic valve}, Alcohol use {Current drinker of alcohol}, withdrawal {Alcohol withdrawal syndrome}, DT {Alcohol withdrawal delirium}, seizures {Seizure}, HLD {Hyperlipidemia}, Gout {Inflammatory disorder due to increased blood urate level}, Pulmonary Nodule {Nodule of lung}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. Ezetimibe 10 mg PO DAILY 2. Propranolol 10 mg PO BID 3. Quinapril 10 mg PO DAILY 4. Allopurinol ___ mg PO DAILY 5. Warfarin 2.5 mg PO 4X/WEEK (___) 6. Warfarin 2 mg PO 3X/WEEK (___) Discharge Medications: 1. Ezetimibe 10 mg PO DAILY 2. Propranolol 10 mg PO BID 3. Quinapril 10 mg PO DAILY 4. Warfarin 2.5 mg PO 4X/WEEK (___) Do not take until instructed 5. Warfarin 2 mg PO 3X/WEEK (___) 6. Levofloxacin 750 mg PO DAILY RX *levofloxacin [Levaquin] 750 mg 1 tablet(s) by mouth Daily Disp #*7 Tablet Refills:*0 7. PredniSONE 40 mg PO DAILY RX *prednisone 20 mg 2 tablet(s) by mouth daily Disp #*8 Tablet Refills:*0 8. Pulmicort Flexhaler *NF* (budesonide) 90 mcg/actuation Inhalation BID 9. Allopurinol ___ mg PO DAILY 10. Methimazole 10 mg PO TID Do not take this medication until instructed to do so by Dr. ___ 11. Simvastatin 40 mg PO DAILY Please do not take this medication until instructed to do so by your PCP. ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: Primary Diagnosis - Septic Shock secondary to pyelnonephritis - Graves Disease - Kawasaki Disease - Gerd Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: Septic Shock {Septic shock}, pyelnonephritis {Pyelonephritis}, Graves Disease {Graves' disease}, Kawasaki Disease {Acute febrile mucocutaneous lymph node syndrome}, Gerd {Gastroesophageal reflux disease}, Mental Status {Mental state finding}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Ambulatory - Independent {Independent walking}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: You were admitted to ___ with low blood pressure and were found to have sepsis. While the source of the infection is not entirely clear, this was most likely due to a kidney infection. You were also treated for an asthma exacerbation. Please note the changes to your medications below. ###RESPONSE: low blood pressure {Low blood pressure}, sepsis {Sepsis}, infection {Infectious disease}, kidney infection {Infectious disorder of kidney}, asthma exacerbation {Exacerbation of asthma}, changes to your medications {Medication education}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None ###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Abdominal pain {Abdominal pain}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: ___ w/LURT (___) with CKD stage IV of renal allograft, RAS s/p stenting, CAD s/p DES x4 ___, ___ on aspirin/Plavix, HFpEF, atrial fibrillation s/p DVVC (___) on Eliquis, HTN, HLD, T2DM, aorto-iliac occlusive disease, bilateral carotid disease c/b recent CVA, OSA, and prostate cancer, with recent hospitalization for HF exacerbation and pericarditis, who presents with abdominal pain. He states that he has had poor appetite and epigastric pain since discharge on ___. He feels progressively weaker as a result. The epigastric pain does not radiate. He denies fevers, nausea, vomiting, chest pain, diarrhea, difficulty breathing, hematuria, dysuria, lower extremity edema, back pain. ###RESPONSE: LURT {Transplant of kidney}, CKD stage IV {Chronic kidney disease stage 4}, renal allograft {Live donor renal transplant}, RAS {Renal artery stenosis}, stenting {Insertion of arterial stent}, CAD {Coronary arteriosclerosis}, DES {Endovascular insertion of drug eluting stent}, HFpEF {Heart failure with normal ejection fraction}, atrial fibrillation {Atrial fibrillation}, DVVC {Direct current cardioversion}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, T2DM {Diabetes mellitus type 2}, aorto-iliac occlusive disease {Occlusion of aortoiliac artery}, l carotid disease {Disorder of carotid artery}, CVA {Cerebrovascular accident}, OSA {Obstructive sleep apnea syndrome}, prostate cancer {Carcinoma of prostate}, HF exacerbation {Exacerbation of congestive heart failure}, pericarditis {Pericarditis}, abdominal pain {Abdominal pain}, poor appetite {Decrease in appetite}, epigastric pain {Epigastric pain}, epigastric pain {Epigastric pain}, radiate {Radiating pain}, fevers {Fever}, nausea, vomiting {Nausea and vomiting}, chest pain {Chest pain}, diarrhea {Diarrhea}, difficulty breathing {Difficulty breathing}, hematuria {Blood in urine}, dysuria {Dysuria}, lower extremity edema {Edema of lower extremity}, back pain {Backache}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: Cardiovascular Issues: 1. Coronary artery disease (s/p ___ 2 to proximal-LAD ___, s/p ___ 2 to mid-LAD ___. 2. Diastolic congestive heart failure. 3. Hypertension. 4. Dyslipidemia. 5. Claudication/Aorto iliac occlusive disease (ABI 0.88/0.76). 6. Morbid obesity. 7. diabetes 8 Obstructive sleep apnea 9. C diff enterocolitis 10 renal artery stenosis 11. s/p kidney transplant with CKD stage IV transplanted kidney 12. Klepbsiella UTI 13. Prostate cancer 14. Hyperparathyroidism ###RESPONSE: Coronary artery disease {Coronary arteriosclerosis}, proximal-LAD {Structure of proximal portion of anterior descending branch of left coronary artery}, mid-LAD {Structure of mid portion of anterior descending branch of left coronary artery}, congestive heart failure {Congestive heart failure}, Hypertension {Hypertensive disorder, systemic arterial}, Dyslipidemia {Dyslipidemia}, Claudication {Intermittent claudication}, Aorto iliac occlusive disease {Occlusion of aortoiliac artery}, Morbid obesity {Morbid obesity}, diabetes {Diabetes mellitus}, Obstructive sleep apnea {Obstructive sleep apnea syndrome}, enterocolitis {Inflammation of small intestine and colon}, renal artery stenosis {Renal artery stenosis}, kidney transplant {Transplant of kidney}, CKD stage IV {Chronic kidney disease stage 4}, transplanted kidney {Structure of transplanted kidney}, UTI {Urinary tract infectious disease}, Prostate cancer {Carcinoma of prostate}, Hyperparathyroidism {Hyperparathyroidism}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Father: ___, gout Mother: ___, ESRD on hemodialysis Brothers: Lung cancer and CAD His father died at age ___ of dementia. His mother died at age ___ of heart failure. She also had a history of stroke and hypertension. He has two brothers, two sisters, and no children. One of his brothers had an MI in his late ___. There is no family history notable for hyperlipidemia, diabetes,or sudden cardiac death. ###RESPONSE: gout {Inflammatory disorder due to increased blood urate level}, ESRD on hemodialysis {End stage renal failure on dialysis}, Lung cancer {Malignant tumor of lung}, CAD {Coronary arteriosclerosis}, died {Dead}, dementia {Dementia}, died {Dead}, heart failure {Heart failure}, stroke {Cerebrovascular accident}, hypertension {Hypertensive disorder, systemic arterial}, MI {Myocardial infarction}, hyperlipidemia {Hyperlipidemia}, diabetes {Diabetes mellitus}, sudden cardiac death {Sudden cardiac death}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: Admission Exam: =============== GENERAL: Alert and interactive. In no acute distress. HEENT: NCAT. PERRL, EOMI. Sclera anicteric and without injection. MMM. NECK: No cervical lymphadenopathy. CARDIAC: Regular rhythm, normal rate. Audible S1 and S2. No murmurs/rubs/gallops. LUNGS: Clear to auscultation bilaterally. No wheezes, rhonchi or rales. No increased work of breathing. BACK: No spinous process tenderness. No CVA tenderness. ABDOMEN: Soft, non distended, non-tender to deep palpation in all four quadrants. EXTREMITIES: No clubbing, cyanosis, or edema. Pulses DP/Radial 2+ bilaterally. SKIN: Warm. No rash. NEUROLOGIC: ___ strength throughout. Normal sensation. AOx3. Discharge Exam: GENERAL: NAD CARDIAC: Regular rhythm, normal rate. LUNGS: Clear to auscultation bilaterally. No wheezes, rhonchi or rales. No increased work of breathing.. ABDOMEN: Soft, non distended, non-tender to deep palpation in all four quadrants. EXTREMITIES: no edema bilateral lower extremity ###RESPONSE: GENERAL {General examination of patient}, Alert {Mentally alert}, interactive {Does communicate}, distress {Distress}, HEENT {Physical examination procedure}, NC {Normal head}, PERRL {Pupils equal and reacting to light}, EOMI {Normal ocular motility}, Sclera anicteric {White sclera}, injection {Scleral injection}, MMM {Moist oral mucosa}, NECK {Physical examination procedure}, cervical lymphadenopathy {Cervical lymphadenopathy}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, increased work of breathing {Difficulty breathing}, BACK {Physical examination procedure}, spinous process {Structure of spinous process of vertebra}, tenderness {Tenderness}, CV {Cardiovascular physical examination}, tenderness {Tenderness}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, distended {Swollen abdomen}, non-tender {Abdominal tenderness}, palpation {Palpation}, EXTREMITIES {Examination of limb}, clubbing {Clubbing}, cyanosis {Cyanosis}, edema {Edema}, Pulses DP/Radial 2+ {Peripheral pulses normal}, SKIN {Examination of skin}, Warm {Warm skin}, rash {Eruption of skin}, NEURO {Neurological examination}, GI {Examination of digestive system}, Normal sensation {Normal sensation}, AOx3 {Oriented to person, time and place}, GENERAL {General examination of patient}, NAD {No abnormality detected}, CARDIAC {Cardiovascular physical examination}, Regular rhythm {Normal sinus rhythm}, normal rate {Normal heart rate}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes, rhonchi {Wheeze - rhonchi}, rales {Respiratory crackles}, increased work of breathing {Difficulty breathing}, ABDOMEN {Examination of abdomen}, Soft {Abdomen soft}, non distended {Swollen abdomen}, non-tender {Abdominal tenderness}, deep palpation {Deep palpation}, EXTREMITIES {Examination of limb}, edema bilateral lower extremity {Edema of bilateral lower limbs}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: Labs: ___ 08:20PM BLOOD WBC-16.8* RBC-4.34* Hgb-12.3* Hct-37.8* MCV-87 MCH-28.3 MCHC-32.5 RDW-14.6 RDWSD-46.5* Plt ___ ___ 08:20PM BLOOD ___ PTT-27.1 ___ ___ 08:20PM BLOOD Glucose-167* UreaN-61* Creat-2.6* Na-138 K-3.4* Cl-95* HCO3-24 AnGap-19* ___ 07:34AM BLOOD Glucose-147* UreaN-57* Creat-2.6* Na-144 K-4.1 Cl-104 HCO3-23 AnGap-17 ___ 02:58AM BLOOD CMV VL-NOT DETECT ___ 08:29PM BLOOD Lactate-1.1 Imaging: CT Abdomen/Peliv IMPRESSION: 1. Focal wall thickening with pericolonic stranding at the hepatic flexure, most consistent with focal colits(infectious/inflammatory/ischemic) versus diverticulitis. Recommend follow-up colonoscopy after acute symptoms subside. 2. Sigmoid colon diverticulosis with equivocal haziness of the fat adjacent to the proximal sigmoid colon could represent additional site of diverticulitis/focal colitis. 3. Small to moderate right and small left bilateral pleural effusions with overlying atelectasis. Small pericardial effusion again seen. 4. Right lower quadrant transplant kidney with mild dilatation of the renal pelvis, increased compared to the prior CT from ___. Renal Transplant US: Interval increase in intrarenal arterial resistive indices now ranging from 0.89-1.0 with lack of diastolic flow seen in the mid and lower pole intrarenal arteries as well as main renal artery. This is new compared to ___, however loss of diastolic flow was also seen on a prior renal ultrasound performed ___. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, CT Abdomen/Peliv {Computed tomography of abdomen and pelvis}, thickening {Increased thickness}, pericolonic {Structure of paracolic region}, hepatic flexure {Structure of right colic flexure}, colits {Colitis}, infectious {Infectious disease}, inflammatory {Inflammatory disorder}, ischemic {Ischemia}, diverticulitis {Diverticulitis}, colonoscopy {Colonoscopy}, Sigmoid colon diverticulosis {Diverticulosis of sigmoid colon}, sigmoid colon {Sigmoid colon structure}, diverticulitis {Diverticulitis}, colitis {Colitis}, bilateral pleural effusions {Bilateral pleural effusion}, atelectasis {Atelectasis}, pericardial effusion {Pericardial effusion}, Right lower quadrant {Structure of right lower quadrant of abdomen}, transplant kidney {Structure of transplanted kidney}, dilatation of the renal pelvis {Dilatation of renal pelvis}, arteries {Arterial structure}, renal artery {Structure of renal artery}, renal ultrasound {Echography of kidney}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: ___ w/LURT (___) with CKD stage IV of renal allograft, RAS s/p stenting, CAD s/p DES x4 (___) on aspirin/Plavix, HFpEF, atrial fibrillation s/p DVVC (___) on Eliquis, HTN, HLD, T2DM, aorto-iliac occlusive disease, bilateral carotid disease c/b recent CVA, OSA, and prostate cancer, with recent hospitalization for CHF exacerbation and pericarditis, who presents with abdominal pain with CT A/P concerning for diverticulitis. #Diverticulitis. #Abdominal pain. Patient presented with new onset abdominal pain. CT A/P obtained in ED consistent with diverticulitis. The patient was started on Unasyn while inpatient and had good response. He was able to tolerate PO and was having normal non bloody BM at the time of discharge. At time of discharge, abdominal pain had resolved. He was discharged with Augmentin per renal dosing 500mg BID to compete a 10 day course (___) In addition, given his history of recurrent C diff, he was started on oral vancomycin for C diff prophylaxis. He will continue oral vancomycin for a total of 15 day course (___). The patient should have a colonoscopy to evaluate for bowel pathology in the setting of diverticulitis. CHRONIC AND STABLE ISSUES ========================= #ESRD s/p renal transplant #Immunosuppression. ESRD s/p living unrelated transplantation in ___ c/b transplant glomerulopathy (biopsy proven in ___, now with CKD IV. Per Renal Transplant notes, he has a had a gradual increase in SCr over the past year. Cr is currently at baseline 2.3-2.6. - continue mycophenolate mofetil 250 mg PO BID - continue tacrolimus 1.5 mg PO Q12H, goal ___ #Pericarditis #Pericardial effusion. Etiology of the effusion was thought to be viral pericarditis likely due to recent upper respiratory infection given elevated CRP. A second TTE showed small to moderate (small ammount apically and more moderate at base) pericardial effusion with no overt evidence of tamponade. It was felt that the effusion was predominantly posterior and unlikely to be amenable to pericardiocentesis, which was deferred. - continue ASA 325 TID (last ___ for 2 week course - continue colchicine 3 months (last ___ #HFpEF, Stage C, NYHA class II. Recent hospitalization for HFpEF exacerbation due to withholding diuretic and possible bacterial pneumonia. Currently euvolemic on exam - continue torsemide - continue coreg - continue amlodipine, hydralazine #CAD #Troponinemia - continue high dose ASA as above, then will return to ASA 81 mg on ___ - continue pravastatin #HTN - continue hydralazine, amlodipine - continue coreg #Atrial Fibrillation: s/p DCCV - continue home carvedilol - continue home apixaban #T2DM - continue home glargine 24U QAM - continue ISS #Dyslipidemia #Claudication/aortoiliac occlusive disease. #Bilateral carotid artery disease (80-99% ___, 60-69% LICA) #Multiple CVA/embolic strokes. Strokes attributed to subtherapeutic INR, switched to NOAC during inpatient admission ___. - continue ASA, apixaban as above - continue Pravastatin as above #Gout - continue allopurinol #BPH - continue tamsulosin #GERD - continue pantoprazole especially as he is on high dose ASA Transitional issues: Transitional Issues: ==================== Recommend follow-up colonoscopy after acute symptoms subside. ###RESPONSE: LURT {Transplant of kidney}, CKD stage IV {Chronic kidney disease stage 4}, renal allograft {Live donor renal transplant}, RAS {Renal artery stenosis}, stenting {Insertion of arterial stent}, CAD {Coronary arteriosclerosis}, DES {Endovascular insertion of drug eluting stent}, HFpEF {Heart failure with normal ejection fraction}, atrial fibrillation {Atrial fibrillation}, DVVC {Direct current cardioversion}, HTN {Hypertensive disorder, systemic arterial}, HLD {Hyperlipidemia}, T2DM {Diabetes mellitus type 2}, aorto-iliac occlusive disease {Occlusion of aortoiliac artery}, carotid disease {Disorder of carotid artery}, CVA {Cerebrovascular accident}, OSA {Obstructive sleep apnea syndrome}, prostate cancer {Carcinoma of prostate}, CHF exacerbation {Exacerbation of congestive heart failure}, pericarditis {Pericarditis}, abdominal pain {Abdominal pain}, CT A/P {Computed tomography of abdomen and pelvis}, diverticulitis {Diverticulitis}, Diverticulitis {Diverticulitis}, Abdominal pain {Abdominal pain}, abdominal pain {Abdominal pain}, CT A/P {Computed tomography of abdomen and pelvis}, diverticulitis {Diverticulitis}, bloody BM {Hematochezia}, abdominal pain {Abdominal pain}, oral {Administration of drug or medicament via oral route}, prophylaxis {Preventive procedure}, oral {Administration of drug or medicament via oral route}, colonoscopy {Colonoscopy}, bowel {Intestinal structure}, diverticulitis {Diverticulitis}, ESRD {End-stage renal disease}, renal transplant {Transplant of kidney}, ESRD {End-stage renal disease}, transplantation {Transplantation}, transplant glomerulopathy {Transplant glomerulopathy}, biopsy {Biopsy}, CKD IV {Chronic kidney disease stage 4}, baseline {Baseline state}, Pericarditis {Pericarditis}, Pericardial effusion {Pericardial effusion}, effusion {Pericardial effusion}, viral pericarditis {Viral pericarditis}, upper respiratory infection {Upper respiratory infection}, elevated CRP {C-reactive protein above reference range}, TTE {Transthoracic echocardiography}, pericardial effusion {Pericardial effusion}, tamponade {Cardiac tamponade}, effusion {Pericardial effusion}, pericardiocentesis {Pericardiocentesis}, HFpEF {Heart failure with normal ejection fraction}, HFpEF {Heart failure with normal ejection fraction}, diuretic {Diuretic therapy}, bacterial pneumonia {Bacterial pneumonia}, euvolemic {Normal blood volume}, CAD {Coronary arteriosclerosis}, HTN {Hypertensive disorder, systemic arterial}, Atrial Fibrillation {Atrial fibrillation}, DCCV {Direct current cardioversion}, T2DM {Diabetes mellitus type 2}, ISS {Sliding scale insulin regime}, Dyslipidemia {Dyslipidemia}, Claudication {Intermittent claudication}, aortoiliac occlusive disease {Aortoiliac atherosclerosis}, carotid artery disease {Disorder of carotid artery}, CVA {Cerebrovascular accident}, embolic strokes {Embolic stroke}, Strokes {Cerebrovascular accident}, Gout {Inflammatory disorder due to increased blood urate level}, BPH {Benign prostatic hyperplasia}, GERD {Gastroesophageal reflux disease}, colonoscopy {Colonoscopy}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. Acidophilus Probiotic (acidophilus-pectin, citrus) 100 million cell-10 mg oral DAILY 2. DICYCLOMine 10 mg PO DAILY:PRN abdominal pain 3. melatonin 10 mg oral QHS 4. Nitroglycerin SL 0.3 mg SL Q5MIN:PRN chest pain 5. Allopurinol ___ mg PO DAILY 6. amLODIPine 10 mg PO DAILY 7. Apixaban 2.5 mg PO BID 8. Aspirin 325 mg PO TID 9. Calcitriol 0.25 mcg PO DAILY 10. Carvedilol 25 mg PO BID 11. Multivitamins 1 TAB PO DAILY 12. Mycophenolate Mofetil 250 mg PO BID 13. Pantoprazole 40 mg PO Q24H 14. Pravastatin 40 mg PO QPM 15. Tacrolimus 1.5 mg PO Q12H 16. Torsemide 80 mg PO BID 17. Tamsulosin 0.4 mg PO QHS 18. Colchicine 0.3 mg PO DAILY Pericarditis 19. HydrALAZINE 25 mg PO TID 20. Calcium Carbonate 500 mg PO QID:PRN gas 21. Glargine 24 Units Breakfast Discharge Medications: 1. Amoxicillin-Clavulanic Acid ___ mg PO Q12H RX *amoxicillin-pot clavulanate 500 mg-125 mg 1 tablet(s) by mouth every twelve (12) hours Disp #*16 Tablet Refills:*0 2. Vancomycin Oral Liquid ___ mg PO/NG BID RX *vancomycin [Firvanq] 25 mg/mL 5 ml by mouth twice a day Disp #*3900 Milliliter Milliliter Refills:*0 3. Glargine 24 Units Breakfast 4. Acidophilus Probiotic (acidophilus-pectin, citrus) 100 million cell-10 mg oral DAILY 5. Allopurinol ___ mg PO DAILY 6. amLODIPine 10 mg PO DAILY 7. Apixaban 2.5 mg PO BID 8. Aspirin 325 mg PO TID 9. Calcitriol 0.25 mcg PO DAILY 10. Calcium Carbonate 500 mg PO QID:PRN gas 11. Carvedilol 25 mg PO BID 12. Colchicine 0.3 mg PO DAILY Pericarditis 13. DICYCLOMine 10 mg PO DAILY:PRN abdominal pain 14. HydrALAZINE 25 mg PO TID 15. melatonin 10 mg oral QHS 16. Multivitamins 1 TAB PO DAILY 17. Mycophenolate Mofetil 250 mg PO BID 18. Nitroglycerin SL 0.3 mg SL Q5MIN:PRN chest pain 19. Pantoprazole 40 mg PO Q24H 20. Pravastatin 40 mg PO QPM 21. Tacrolimus 1.5 mg PO Q12H 22. Tamsulosin 0.4 mg PO QHS 23. Torsemide 80 mg PO BID ###RESPONSE: mg {Blood magnesium measurement}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: Diverticulitis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: Diverticulitis {Diverticulitis}, Mental Status {Neurological mental status determination}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: Dear Mr ___, It was a pleasure caring for you at ___ ___. WHY WAS I IN THE HOSPITAL? - You had abdominal pain from diverticulitis WHAT HAPPENED TO ME IN THE HOSPITAL? - We gave you antibiotics and you got better - We transitioned you to oral antibiotics WHAT SHOULD I DO AFTER I LEAVE THE HOSPITAL? - Please take all of the antibiotics as described below: - Augmentin 500mg BID until (___) - Vancomycin 125mg BID until (___) We wish you the ___! Sincerely, Your ___ Team ###RESPONSE: abdominal pain {Abdominal pain}, diverticulitis {Diverticulitis}, antibiotics {Antibiotic therapy}, oral antibiotics {Oral antibiotic therapy}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Penicillins / aspirin / seafood / Percocet / cats Attending: ___. Chief Complaint: Syncope Major Surgical or Invasive Procedure: tPA via EKOS catheter x 2 (___) ###RESPONSE: Penicillins {Allergy to penicillin}, aspirin {Allergy to aspirin}, seafood {Allergy to seafood}, cats {Allergy to Felis catus protein}, Syncope {Syncope}, tPA {Intravenous injection of tissue plasminogen activator}, catheter {Insertion of central venous catheter}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: Ms. ___ is a ___ year-old patient with a history of retroperitoneal lipoma and abnormal uterine bleeding who is transferred from an OSH due to massive pulmonary embolism. Of note, Ms. ___ has been having prolonged and profuse uterine bleeding for which she was started on norethindrone by her gynecologist. One day prior to admission she developed left leg swelling and pain which she did not make of too much. The day of admission she developed sudden-onset dyspnea, palpitations and she later lost consciousness only to regain it when EMS arrived. She was taken to ___ where she had a CTA Chest showing bilateral PEs and was started on a heparin gtt. In the ED she underwent a second syncopal event after going to the bathroom. On the day of transfer an echocardiogram was done showing severe RV dilation and hypokinesis sparing the apex leading to transfer to ___ for higher level of care. On arrival to the MICU, she had no additional complaints. ###RESPONSE: retroperitoneal {Retroperitoneal compartment structure}, lipoma {Lipoma morphology}, abnormal uterine bleeding {Abnormal uterine bleeding}, pulmonary embolism {Pulmonary embolism}, uterine bleeding {Abnormal uterine bleeding}, left leg swelling {Localized swelling of left lower limb}, pain {Pain in left lower limb}, dyspnea {Dyspnea}, palpitations {Palpitations}, lost consciousness {Loss of consciousness}, CTA Chest {Computed tomography angiography of chest with contrast}, PEs {Pulmonary embolism}, heparin {Heparin therapy}, syncopal {Syncope}, echocardiogram {Echocardiography}, RV dilation {Dilatation of right cardiac ventricle}, hypokinesis {Hyperkinetic right ventricular wall}, apex {Structure of apex of heart}, MICU {Patient transfer to intensive care unit}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: Seasonal allergies Retroperitoneal fatty mass H/o anemia C-section Umbilical hernia s/p repair ###RESPONSE: Seasonal allergies {Seasonal allergy}, Retroperitoneal fatty mass {Mass of retroperitoneal structure}, anemia {Anemia}, C-section {Cesarean section}, Umbilical hernia {Umbilical hernia}, repair {Repair of umbilical hernia}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Mother: ___ Father: ___ cancer MGM: Hypertension ###RESPONSE: cancer {Malignant neoplasm}, Hypertension {Hypertensive disorder, systemic arterial}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: Admission Physical Exam ======================= Vitals: Please see Metavision GENERAL: Alert, oriented, no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear NECK: supple, JVP 2cm above clavicle at 45 degrees, no LAD LUNGS: Clear to auscultation bilaterally, no wheezes, rales, rhonchi CV: Regular rate and rhythm, loud S2, no murmurs, rubs, gallops ABD: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly EXT: Warm, well perfused. L>R diameter of calves. Non-tender calves. NEURO: AOx3, grossly non-focal Discharge Physical Exam ======================= Vitals: T 98.6, BP 115/65, HR 81, RR 18, SpO2 100/RA General: Alert, oriented, no acute distress, lying comfortably. Tearful talking about her kids and wanting to get home to them. HEENT: Sclera anicteric, MMM, oropharynx clear. Bandage over R lower neck is clean and dry. Lungs: Faint bibasilar crackles CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: Warm, well perfused, 2+ pulses, trace edema in L leg up into shin. No edema on R side. No erythema or increased warmth. Skin: Without rashes or lesions - R neck bandaged from IJ line as above Neuro: moving all extremities ###RESPONSE: Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, GENERAL {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, NECK {Physical examination procedure}, supple {Normal movement of neck}, JVP {Finding of jugular venous pressure}, clavicle {Bone structure of clavicle}, LAD {Lymphadenopathy}, LUNGS {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, loud {Heart sounds exaggerated}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, ABD {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, EXT {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, calves {Structure of calf of leg}, tender {Abdominal tenderness}, calves {Structure of calf of leg}, NEURO {Neurological examination}, AOx3 {Oriented to person, time and place}, grossly non-focal {No abnormality detected}, Physical Exam {Physical examination procedure}, Vitals {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, SpO2 {Finding of oxygen saturation}, RA {Breathing room air}, General {General examination of patient}, Alert {Mentally alert}, oriented {Orientated}, no acute {No abnormality detected}, distress {Distress}, lying {Lying in bed}, Tearful {Crying associated with mood}, talking {Does speak}, HEENT {Physical examination procedure}, Sclera anicteric {White sclera}, MMM {Moist oral mucosa}, oropharynx clear {Pharynx normal}, Bandage {Application of bandage}, neck {Structure of right half of neck}, Lungs {Examination of respiratory system}, bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, CV {Cardiovascular physical examination}, Regular rate and rhythm {Normal heart rate}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, rubs {Pericardial friction rub}, gallops {Gallop rhythm}, Abdomen {Examination of abdomen}, soft {Abdomen soft}, non-tender {Abdominal tenderness}, non-distended {Normal abdominal contour}, bowel sounds present {Normal bowel sounds}, rebound {Rebound tenderness}, tenderness {Tenderness}, guarding {Abdominal guarding}, organomegaly {Abdominal organomegaly}, Ext {Examination of limb}, Warm {Warm skin}, well perfused {Normal tissue perfusion}, 2+ pulses {Peripheral pulses normal}, edema {Edema}, L leg {Structure of left lower limb}, shin {Shin structure}, edema {Edema}, R side {Structure of right lower leg}, erythema {Erythema}, warm {Warm skin}, Skin {Examination of skin}, rashes {Eruption of skin}, lesions {Lesion}, R neck {Structure of right half of neck}, bandaged {Application of bandage}, IJ line {Catheterization of internal jugular vein}, Neuro {Neurological examination}, all extremities {All extremities}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: Admission labs ============== ___ 02:37PM BLOOD WBC-8.2# RBC-3.94 Hgb-9.3* Hct-31.1* MCV-79*# MCH-23.6*# MCHC-29.9* RDW-17.8* RDWSD-50.8* Plt ___ ___ 02:37PM BLOOD Neuts-62.9 ___ Monos-10.3 Eos-0.2* Baso-0.4 Im ___ AbsNeut-5.13 AbsLymp-2.12 AbsMono-0.84* AbsEos-0.02* AbsBaso-0.03 ___ 05:34PM BLOOD ___ PTT-49.9* ___ ___ 02:37PM BLOOD Glucose-82 UreaN-8 Creat-0.6 Na-140 K-3.4 Cl-114* HCO3-16* AnGap-13 ___ 02:37PM BLOOD ALT-9 AST-18 LD(LDH)-285* AlkPhos-61 TotBili-0.6 ___ 02:37PM BLOOD cTropnT-0.03* proBNP-1552* ___ 02:37PM BLOOD Albumin-3.0* Calcium-6.8* Phos-2.2* Mg-1.7 ___ 02:49PM BLOOD Lactate-1.6 Discharge labs ============== ___ 08:55AM BLOOD WBC-6.2 RBC-3.81* Hgb-9.1* Hct-29.2* MCV-77* MCH-23.9* MCHC-31.2* RDW-19.8* RDWSD-51.6* Plt ___ ___ 08:55AM BLOOD Plt ___ ___ 11:25AM BLOOD PTT-60.5* ___ 08:55AM BLOOD ___ PTT-66.9* ___ ___ 08:55AM BLOOD Glucose-83 UreaN-8 Creat-0.7 Na-141 K-3.7 Cl-106 HCO3-24 AnGap-15 ___ 08:55AM BLOOD Calcium-8.6 Phos-4.0 Mg-2.1 Imaging ___ Pelvic US 1. Fibroid uterus, distorting the endometrium. 2. Blood in the endocervical canal. 3. Normal ovaries. No free fluid. ___ EKOS placement RECOMMENDATION(S): 1. Infusion of 1.0 mg tPA through each the EKOS catheter. 2. Monitor fibrinogen and H&H at least Q6 3. Reassessment of patient in 12 hours status post catheter directed chemical thrombectomy with EKOS ___ TTE The left atrium is normal in size. Left ventricular wall thickness, cavity size, and global systolic function are normal (LVEF>55%). The right ventricular cavity is mildly dilated with mild global free wall hypokinesis. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. The mitral valve leaflets are structurally normal. There is borderline pulmonary artery systolic hypertension. There is no pericardial effusion. IMPRESSION: Suboptimal image quality. Mild right ventricular cavity dilation with free wall hypokinesis. Borderline pulmonary artery systolic hypertension. Normal left ventricular cavity size and global systolic function. ___ Pulmonary arteriogram Significant decrease in pulmonary embolic volume with significant improvement of peripheral pulmonary arterial flow RECOMMENDATION(S): Continue anticoagulation. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Neuts {Neutrophil count}, Monos {Monocyte count}, Baso {Basophil count}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, LDH {Lactate dehydrogenase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, cTropnT {Troponin T cardiac measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, Albumin {Albumin measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Lactate {Lactic acid measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, PTT {Partial thromboplastin time, activated}, PTT {Partial thromboplastin time, activated}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, K {Blood potassium measurement}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, Imaging {Imaging}, Pelvic US {Pelvic echography}, Fibroid uterus {Uterine leiomyoma}, endometrium {Endometrial structure}, endocervical canal {Structure of cervical canal of uterus}, Normal ovaries {Normal ovary}, free fluid {Effusion}, placement {Insertion of central venous catheter}, Infusion {Infusion}, tPA {Intravenous injection of tissue plasminogen activator}, catheter {Insertion of central venous catheter}, fibrinogen {Fibrinogen measurement}, H&H {Measurement of total hemoglobin concentration and hematocrit}, status post {Postoperative state}, catheter {Insertion of central venous catheter}, thrombectomy {Removal of thrombus}, TTE {Transthoracic echocardiography}, left atrium {Left atrial structure}, normal in size {Normal size}, Left ventricular wall {Left cardiac ventricular structure}, thickness {Normal thickness}, cavity {Structure of cavity of left cardiac ventricle}, systolic function are normal {Normal left ventricular systolic function and wall motion}, right ventricular cavity {Structure of cavity of right cardiac ventricle}, free wall hypokinesis {Hypokinesis of cardiac wall}, aortic valve leaflets {Structure of cardiac valve leaflet}, structurally normal {Aortic valve normal}, good {No abnormality detected}, leaflet {Structure of cardiac valve leaflet}, aortic stenosis {Aortic valve stenosis}, mitral valve leaflets {Structure of leaflet of mitral valve}, structurally normal {Mitral valve normal}, pulmonary artery systolic hypertension {Pulmonary hypertensive arterial disease}, pericardial effusion {Pericardial effusion}, right ventricular cavity {Structure of cavity of right cardiac ventricle}, free wall hypokinesis {Hypokinesis of cardiac wall}, pulmonary artery systolic hypertension {Pulmonary hypertensive arterial disease}, left ventricular cavity {Structure of cavity of left cardiac ventricle}, systolic function {Normal left ventricular systolic function and wall motion}, Pulmonary arteriogram {Angiography of pulmonary arteries}, decrease {Decreased size}, pulmonary embolic {Pulmonary embolism}, improvement {Patient's condition improved}, l pulmonary arterial flow {Structure of artery of pulmonary circulation}, anticoagulation {Anticoagulant therapy}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: Ms. ___ is a ___ year-old patient with a history of retroperitoneal lipoma and abnormal uterine bleeding who is transferred from an OSH due to massive pulmonary embolism. #Massive Pulmonary Embolism: Pt was transferred from outside hospital, where a CTA chest showed pulmonary embolism. Given syncope x2 prior to admission, echocardiographic signs of RV failure, elevated proBNP (1552) and troponin T (0.03), this PE is classified as massive. Initially, patient was hemodynamically stable at rest with labile hemodynamics on minimal exertion. Pt received tPA via EKOS catheter x 2 on ___ for directed lysis of clot. Pt is now hemodynamically stable. Pt on heparin gtt during admission; warfarin initiated on ___ (received 5mg). NOACs were considered, but due to insurance issues and patient preference, warfarin was chosen. INR on discharge of 1.1; pt will go home with lovenox for bridging until therapeutic on warfarin. #Abnormal uterine bleeding: Has been ongoing for year but slightly worse recently, for which she was started on norethindrone. Pelvic ultrasound showed fibroid uterus with blood in endocervical canal, normal ovaries, no free air. Gyn saw patient, recommended hysterectomy. Pt not interested in hysterectomy at this time, will f/u with gyn as an outpatient. Bleeding is minimal at this time, and remained stable on heparin gtt and with tPA. #Anemia: stable throughout admission. H/H of 9.1 and 29.2 on discharge. TRANSITIONAL ISSUES: #ABNORMAL UTERINE BLEEDING: will follow-up at ___ resident ___ for gynecology #HYPERCOAGULABILITY: should get hypercoagulability work-up as outpatient. Mother also has history of PE. #ANTICOAGULATION: initiated on warfarin on ___ will be on lovenox at home to bridge onto warfarin therapy. Will need close follow-up of coagulation studies. INR should be checked on ___. Dr ___ manage her Coumadin.bility work up as outpatient ###RESPONSE: retroperitoneal {Retroperitoneal compartment structure}, lipoma {Lipoma}, abnormal uterine bleeding {Abnormal uterine bleeding}, pulmonary embolism {Pulmonary embolism}, Pulmonary Embolism {Pulmonary embolism}, CTA chest {Computed tomography angiography of chest with contrast}, pulmonary embolism {Pulmonary embolism}, syncope {Syncope}, echocardiographic {Echocardiography}, signs {Sign}, RV {Right cardiac ventricular structure}, elevated {Complement level above reference range}, troponin T {Troponin T measurement}, PE {Pulmonary embolism}, hemodynamically stable {Hemodynamically stable}, hemodynamics {Hemodynamic monitoring}, tPA {Intravenous injection of tissue plasminogen activator}, catheter {Insertion of central venous catheter}, lysis {Lysis}, clot {Blood clot}, hemodynamically stable {Hemodynamically stable}, heparin {Heparin therapy}, INR {Calculation of international normalized ratio}, on warfarin {Warfarin therapy}, Abnormal uterine bleeding {Abnormal uterine bleeding}, worse {Patient's condition worsened}, Pelvic ultrasound {Pelvic echography}, fibroid uterus with blood {Abnormal uterine bleeding due to uterine fibroid}, endocervical canal {Structure of cervical canal of uterus}, normal ovaries {Normal ovary}, free air {Pneumoperitoneum}, hysterectomy {Hysterectomy}, not interested {Lack of interest}, hysterectomy {Hysterectomy}, Bleeding {Abnormal uterine bleeding}, minimal {Symptom mild}, stable {Patient's condition stable}, heparin {Heparin therapy}, tPA {Intravenous injection of tissue plasminogen activator}, Anemia {Anemia}, stable {Patient's condition stable}, ABNORMAL UTERINE BLEEDING {Abnormal uterine bleeding}, follow-up {Follow-up arranged}, HYPERCOAGULABILITY {Hypercoagulability state}, hypercoagulability {Hypercoagulability state}, work-up {Evaluation procedure}, ANTICOAGULATION {Anticoagulant therapy}, on warfarin {Warfarin therapy}, warfarin therapy {Warfarin therapy}, follow-up {Follow-up consultation}, coagulation {Coagulation}, studies {Monitoring procedure}, INR {Calculation of international normalized ratio}, checked {Monitoring procedure}, Coumadin {Anticoagulant therapy}, work up {Evaluation procedure}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. norethindrone acetate 5 mg oral BID Discharge Medications: 1. Enoxaparin Sodium 80 mg SC BID Start: ___, First Dose: Next Routine Administration Time RX *enoxaparin 80 mg/0.8 mL 80 mg SQ twice a day Disp #*60 Syringe Refills:*0 2. Warfarin 5 mg PO DAILY16 RX *warfarin [Coumadin] 2.5 mg Two tablet(s) by mouth Once a day Disp #*30 Tablet Refills:*0 3. norethindrone acetate 5 mg oral BID ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: PRIMARY DIAGNOSES: - Massive pulmonary embolism - Abnormal uterine bleeding SECONDARY DIAGNOSES: - Anemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: pulmonary embolism {Pulmonary embolism}, Abnormal uterine bleeding {Abnormal uterine bleeding}, Anemia {Anemia}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: Dear Ms ___, You were admitted to ___ from ___ to ___ for a massive pulmonary embolism (blood clot in your lungs). WHAT HAPPENED WHILE YOU WERE IN THE HOSPITAL? ============================================= - You had an ultrasound of your heart, which showed that your heart was being affected by the pulmonary embolism. - You were seen by our gynecologists, who thought your uterine bleeding was stable and that you were okay to receive blood thinners for your blood clot. - You had a pelvic ultrasound, which showed fibroids in your uterus, which is likely the cause of your bleeding. - You had catheters put into your neck that reached the spot in your lungs where the blood clot was. A medicine called tPA was put into the catheters that helped to break up the clot. - You were on an IV drip of heparin (blood thinner). - You were started on warfarin (Coumadin), which is a blood thinner pill that you will continue to take once you leave the hospital. WHAT WILL HAPPEN WHEN YOU LEAVE THE HOSPITAL? ============================================= - You will continue to take warfarin as prescribed. It is very important that you take this every day to prevent your blood clot from getting worse. - You will have to inject yourself with enoxaparin (Lovenox) at home until you determine with your primary care doctor that your warfarin dose is appropriate. It is VERY important that you take this every day to prevent your blood clot from getting worse, until your primary care doctor tells you it is okay to stop. - You should got to Dr. ___ office on ___ to get your INR level drawn. - You will see Dr ___ care doctor) for routine follow-up once you leave the hospital. - You will see one of our cardiologists (who helped to take care of your blood clot in the hospital) in the office for follow-up of your blood clot. - You will see a gynecologist in our clinic here for follow-up of your bleeding and fibroids. If you have any further questions regarding your care here, please do not hesitate to contact us. We wish you the ___ with your health going forward. Your ___ Care Team ###RESPONSE: pulmonary embolism {Pulmonary embolism}, blood clot {Blood clot}, lungs {Lung structure}, ultrasound of your heart {Echocardiography}, heart {Heart structure}, pulmonary embolism {Pulmonary embolism}, uterine bleeding {Abnormal uterine bleeding}, stable {Patient's condition stable}, receive blood thinners {Anticoagulant therapy}, blood clot {Blood clot}, pelvic ultrasound {Pelvic echography}, fibroids {Uterine leiomyoma}, uterus {Uterine structure}, bleeding {Abnormal uterine bleeding}, catheters {Insertion of central venous catheter}, neck {Neck structure}, lungs {Lung structure}, blood clot {Blood clot}, tPA {Intravenous injection of tissue plasminogen activator}, catheters {Insertion of central venous catheter}, clot {Blood clot}, IV {Intravenous therapy}, heparin {Heparin therapy}, blood thinner {Anticoagulant therapy}, on warfarin {Warfarin therapy}, Coumadin {Anticoagulant therapy}, blood thinner {Anticoagulant therapy}, warfarin {Warfarin therapy}, blood clot {Blood clot}, primary care {Primary care management}, blood clot {Blood clot}, primary care {Primary care management}, INR {Calculation of international normalized ratio}, follow-up {Follow-up consultation}, blood clot {Blood clot}, follow-up {Follow-up consultation}, blood clot {Blood clot}, clinic {Outpatient care management}, follow-up {Follow-up consultation}, bleeding {Abnormal uterine bleeding}, fibroids {Uterine leiomyoma}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY ###RESPONSE: OBSTETRICS {Obstetric procedure}, GYNECOLOGY {Operation on female genital organs}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: lisinopril Attending: ___. Chief Complaint: endometrial cancer Major Surgical or Invasive Procedure: total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, pelvic lymph node dissection, cystoscopy ###RESPONSE: endometrial cancer {Endometrial carcinoma}, laparoscopic hysterectomy {Laparoscopic hysterectomy}, bilateral salpingo-oophorectomy {Excision of bilateral fallopian tubes and ovaries}, pelvic lymph node dissection {Pelvic lymphadenectomy}, cystoscopy {Transurethral cystoscopy}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: ___ with a past medical history notable for chronic kidney disease, hypertension, and a history of PE and DVT in ___ who reports the onset of vaginal bleeding on ___. She presented to the emergency room and underwent a CT of the abdomen and pelvis. This showed diverticular disease without inflammation as well as uterine fibroids but no lymphadenopathy. She was referred to Dr. ___ attempted an endometrial biopsy which was nondiagnostic. She also had what appeared to be a cervical biopsy and ECC on ___ which were both negative. She then proceeded to the operating room on ___ for a hysteroscopy with ___ curettage. Findings were notable for a lush endometrium with a polypoid lesion with abnormal vessels on the right uterine sidewall and a larger lesion on the posterior uterine wall with abnormal vessels, both which were biopsied and removed. Final pathology from this procedure showed an endometrial adenocarcinoma, endometrioid type, FIGO grade 1. The specimen has been received here at ___ but has not yet been interpreted for second opinion. The patient was referred to GYN oncology for further evaluation and treatment recommendations. She presents today for consultation along with her 2 daughters. Since then she continues to have light vaginal bleeding. She otherwise feels well and denies any pain or discomfort. She denies any early satiety, unintentional weight changes, nausea/vomiting, SOB/CP, increased abdominal girth, abdominal or pelvic pain, vaginal discharge, or change in her bowel or bladder habits. 10 system Review of Systems negative except as noted above. ###RESPONSE: chronic kidney disease {Chronic kidney disease}, hypertension {Hypertensive disorder, systemic arterial}, PE {Pulmonary embolism}, DVT {Deep venous thrombosis}, vaginal bleeding {Bleeding from vagina}, CT {Computed tomography}, abdomen {Structure of abdominopelvic cavity and/or content of abdominopelvic cavity and/or anterior abdominal wall}, pelvis {Structure of pelvis}, diverticular disease {Diverticular disease}, inflammation {Inflammatory disorder}, uterine fibroids {Uterine leiomyoma}, lymphadenopathy {Lymphadenopathy}, endometrial biopsy {Endometrial biopsy}, cervical biopsy {Cervical biopsy}, ECC {Endocervical curettage}, hysteroscopy {Hysteroscopy}, curettage {Curettage}, endometrium {Endometrial structure}, lesion {Lesion}, vessels {Blood vessel finding}, right {Right hip region structure}, uterine {Uterine structure}, lesion {Lesion}, posterior uterine wall {Structure of posterior wall of uterus}, vessels {Blood vessel finding}, biopsied {Biopsy}, removed {Removal}, endometrial adenocarcinoma, endometrioid type {Endometrioid carcinoma of endometrium}, grade 1 {G1 grade}, GYN {Gynecologic examination}, vaginal bleeding {Bleeding from vagina}, feels well {Well in self}, pain {Abdominal pain}, discomfort {Discomfort}, early satiety {Early satiety}, weight changes {Weight change finding}, nausea {Nausea}, vomiting {Vomiting}, SOB {Dyspnea}, CP {Chest pain}, increased abdominal girth {Swollen abdomen}, abdominal {Abdominal pain}, pelvic {Pain in pelvis}, pain {Abdominal pain}, vaginal discharge {Vaginal discharge}, bowel {Intestinal structure}, bladder {Urinary bladder structure}, habits {Habit}, Review of Systems {Review of systems}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: Health Maintenance: -Mammogram: ___ years ago -Colonoscopy: Never -Bone Mineral Density: Unsure ###RESPONSE: Mammogram {Mammography}, Colonoscopy {Colonoscopy}, Density {Abnormally opaque structure}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: obesity, pernicious anemia, asthma, hypertension, anxiety disorder, hypothyroidism, personal history of a DVT and PE, chronic kidney disease, chronic venous stasis and lower extremity edema Past Surgical History: Open cholecystectomy, ___ Past OB History: G7 P5 7 vaginal deliveries without complications Past GYN History: Menopausal. This is her first episode of postmenopausal bleeding. She has never taken any hormone replacement therapy. She denies any significant gynecologic problems in the past. ###RESPONSE: obesity {Obesity}, pernicious anemia {Pernicious anemia}, asthma {Asthma}, hypertension {Hypertensive disorder, systemic arterial}, anxiety disorder {Anxiety disorder}, hypothyroidism {Hypothyroidism}, DVT {Deep venous thrombosis}, PE {Pulmonary embolism}, chronic kidney disease {Chronic kidney disease}, chronic {Chronic edema}, venous stasis {Venous stasis}, lower extremity edema {Edema of lower extremity}, cholecystectomy {Cholecystectomy}, vaginal deliveries {Vaginal delivery}, Menopausal {Menopause finding}, postmenopausal bleeding {Postmenopausal bleeding}, hormone replacement therapy {Hormone replacement therapy}, gynecologic problems {Female genital tract problem}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Denies family history of GYN cancer, breast cancer, colon cancer ###RESPONSE: GYN {Female genital organ structure}, cancer {Malignant neoplasm}, breast cancer {Malignant neoplasm of breast}, colon cancer {Malignant neoplasm of colon}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: On day of discharge: Afebrile, vitals stable No acute distress CV: regular rate and rhythm Pulm: clear to auscultation bilaterally Abd: soft, appropriately tender, nondistended, incision clean/dry/intact, no rebound/guarding ___: nontender, nonedematous ###RESPONSE: Afebrile {Fever}, vitals {Vital signs finding}, stable {Stable blood pressure}, distress {Distress}, CV {Cardiovascular physical examination}, regular rate and rhythm {Normal heart rate}, Pulm {Examination of respiratory system}, clear to auscultation bilaterally {Normal breath sounds}, Abd {Examination of abdomen}, soft {Abdomen soft}, tender {Abdominal tenderness}, nondistended {Normal abdominal contour}, incision {Abdomen incision}, clean/dry/intact {Wound healing well}, rebound {Rebound tenderness}, guarding {Abdominal guarding}, nontender {Abdominal tenderness}, edema {Edema}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ 06:25AM BLOOD WBC-7.1 RBC-3.81* Hgb-10.7* Hct-32.5* MCV-85 MCH-28.1 MCHC-32.9 RDW-14.5 RDWSD-44.9 Plt ___ ___ 06:25AM BLOOD Glucose-114* UreaN-13 Creat-0.9 Na-139 K-3.7 Cl-102 HCO3-27 AnGap-14 ___ 06:25AM BLOOD Calcium-8.4 Phos-2.9 Mg-2.0 ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: Ms. ___ was admitted to the gynecologic oncology service after undergoing total laparoscopic hysterectomy, bilateral slapping-oophorectomy, pelvic lymph node dissection, and cystoscopy for endometrial cancer. Please see the operative report for full details. Her post-operative course is detailed as follows. Immediately postoperatively, her pain was controlled with IV morphine and IV toradol. Her diet was advanced without difficulty and she was transitioned to PO ibuprofen, liquid Tylenol, and liquid oxycodone. On post-operative day #1, her urine output was adequate so her Foley catheter was removed and she voided spontaneously. She was continued on her home medications for hypothyroidism, hypertension (hydrochlorothiazide restarted on post operative day 1), and asthma. By post-operative day 1, she was tolerating a regular diet, voiding spontaneously, ambulating independently, and pain was controlled with oral medications. She was then discharged home in stable condition with outpatient follow-up scheduled. She was also discharged on 28 days of Lovenox for a personal history of deep venous thrombosis and pulmonary embolism. ###RESPONSE: laparoscopic hysterectomy {Laparoscopic hysterectomy}, bilateral slapping-oophorectomy {Excision of bilateral fallopian tubes and ovaries}, pelvic lymph node dissection {Pelvic lymphadenectomy}, cystoscopy {Transurethral cystoscopy}, endometrial cancer {Endometrial carcinoma}, post-operative course {Postoperative state}, pain {Pain}, IV {Intravenous therapy}, IV {Intravenous therapy}, diet {Dietary finding}, urine {Urine culture}, Foley cathete {Catheterization of urinary bladder}, medications {Administration of drug or medicament}, hypothyroidism {Hypothyroidism}, hypertension {Hypertensive disorder, systemic arterial}, asthma {Asthma}, regular diet {Normal diet}, voiding spontaneously {Normal micturition}, ambulating independently {Independent walking}, pain {Pain}, oral medications {Administration of drug or medicament via oral route}, stable condition {Patient's condition stable}, outpatient follow-up {Outpatient care management}, deep venous thrombosis {Deep venous thrombosis}, pulmonary embolism {Pulmonary embolism}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: albuterol, brinzolamide-brimonidine (eye drops), clobetasol, fluticasone-salmeterol, hydrochlorothiazide 12.5 daily, latenoprost, levothyroxine 75 mcg daily, ativan, timolol, tramadol, baby aspirin, vitamin D3, vitamin B12 Discharge Medications: 1. Acetaminophen (Liquid) 650 mg PO Q6H:PRN Pain - Moderate RX *acetaminophen 650 mg/20.3 mL 650 mg by mouth every 6 hours Refills:*1 2. Docusate Sodium 100 mg PO BID:PRN constipation RX *docusate sodium [Colace] 100 mg 1 capsule(s) by mouth twice per day Disp #*60 Capsule Refills:*1 3. Enoxaparin Sodium 40 mg SC Q24H Start: ___, First Dose: Next Routine Administration Time RX *enoxaparin 40 mg/0.4 mL 40 mg IM daily Disp #*28 Syringe Refills:*0 4. Ibuprofen Suspension 400 mg PO Q8H:PRN Pain - Mild RX *ibuprofen 100 mg/5 mL 20 ml by mouth every four (4) hours Refills:*0 5. OxycoDONE Liquid 2.5 mg PO Q4H:PRN Pain - Moderate RX *oxycodone 5 mg/5 mL 2.5 mg by mouth every 4 hours Refills:*0 6. Senna 8.6 mg PO BID:PRN constipation RX *sennosides [senna] 8.8 mg/5 mL 5 ml by mouth twice a day Refills:*0 7. Albuterol Inhaler ___ PUFF IH Q6H:PRN wheezing 8. Hydrochlorothiazide 12.5 mg PO DAILY 9. Levothyroxine Sodium 75 mcg PO DAILY ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home With Service Facility: ___ Discharge Diagnosis: endometrial cancer Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: Home With Service {Home health aide service management}, endometrial cancer {Endometrial carcinoma}, Mental Status {Neurological mental status determination}, Clear {Normal breath sounds}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: Dear Ms. ___, . You were admitted to the gynecologic oncology service after undergoing the procedures listed below. You have recovered well after your operation, and the team feels that you are safe to be discharged home. Please follow these instructions: . Laparoscopic instructions: * Take your medications as prescribed. We recommend you take non-narcotics (i.e. Tylenol, ibuprofen) regularly for the first few days post-operatively, and use the narcotic as needed. As you start to feel better and need less medication, you should decrease/stop the narcotic first. * Do not drive while taking narcotics. * Do not combine narcotic and sedative medications or alcohol. * Do not take more than 4000mg acetaminophen (tylenol) in 24 hrs. * No strenuous activity until your post-op appointment. * Nothing in the vagina (no tampons, no douching, no sex) for 8 weeks. * No heavy lifting of objects >10 lbs for 4 weeks. * You may eat a regular diet. * It is safe to walk up stairs. . Incision care: * You may shower and allow soapy water to run over incision; no scrubbing of incision. No bath tubs for 6 weeks. * You should remove your port site dressings ___ days after your surgery, if they have not already been removed in the hospital. Leave your steri-strips on. If they are still on after ___ days from surgery, you may remove them. * If you have staples, they will be removed at your follow-up visit. . To reach medical records to get the records from this hospitalization sent to your doctor at home, call ___. . Call your doctor at ___ for: * fever > 100.4 * severe abdominal pain * difficulty urinating * vaginal bleeding requiring >1 pad/hr * abnormal vaginal discharge * redness or drainage from incision * nausea/vomiting where you are unable to keep down fluids/food or your medication * chest pain or difficulty breathing * onset of any concerning symptoms ###RESPONSE: medications {Administration of drug or medicament}, medication {Administration of drug or medicament}, decrease {Decreased size}, while taking narcotics {Narcotics education}, medications {Administration of drug or medicament}, vagina {Vaginal structure}, lifting {Does lift}, regular diet {Normal diet}, walk {Does walk}, Incision care {Incision care}, incision {Surgical incision wound}, incision {Surgical incision wound}, fever {Fever}, abdominal pain {Abdominal pain}, difficulty urinating {Difficulty passing urine}, vaginal bleeding {Bleeding from vagina}, pad {Pad}, abnormal vaginal discharge {Vaginal discharge problem}, redness {Redness of skin over lesion}, drainage {Discharge}, incision {Incision}, nausea {Nausea}, vomiting {Vomiting}, fluids {Tolerating oral fluid}, medication {Administration of drug or medicament}, chest pain {Chest pain}, difficulty breathing {Difficulty breathing}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Codeine / Iodine / Morphine / Percocet / Percodan Attending: ___. Chief Complaint: Left Facial Pain, Skin Infection and Fever Major Surgical or Invasive Procedure: none ###RESPONSE: Codeine {Allergy to codeine}, Iodine {Allergy to iodine compound}, Morphine {Allergy to morphine}, Left Facial {Structure of left half of face}, Pain {Pain in face}, Skin Infection {Infection of skin and/or subcutaneous tissue}, Fever {Fever}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: Mr. ___ is a ___ year-old man with a history of squamous cell carcinoma s/p Mohs to the L temporal area on ___. Since the surgery, he has been having headaches, gradually worsening. He has not been able to eat much since ___ due to the pain. It now extends from his forehead down to his mandible on the L. He initially took acetaminophen, which did not change his pain. He then took 400 mg ibuprofen which seemed to help. On ___ he developed fevers and chills. He came to the hospital. ###RESPONSE: squamous cell carcinoma {Squamous cell carcinoma}, Mohs {Mohs surgery}, L temporal {Left temporal lobe structure}, surgery {Surgical procedure}, headaches {Headache}, worsening {Increased pain}, has not been able to eat {Unable to eat}, pain {Pain}, forehead {Forehead structure}, mandible {Bone structure of mandible}, pain {Pain}, fevers {Fever}, chills {Chill}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: -dyslipidemia -BPH -numerous non-melanoma skin cancers -actinic keratoses -s/p splenectomy following MVA in ___ (? vaccinations) ###RESPONSE: dyslipidemia {Dyslipidemia}, BPH {Benign prostatic hyperplasia}, melanoma {Malignant melanoma of skin}, skin cancers {Malignant neoplasm of skin}, actinic keratoses {Actinic keratosis}, splenectomy {Splenectomy}, MVA {Motor vehicle accident victim}, vaccinations {Administration of vaccine to produce active immunity}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Father was a ___ and family had prolonged sun exposure. There is a strong family history of actinic keratoses, and skin cancer. ###RESPONSE: actinic keratoses {Actinic keratosis}, skin cancer {Malignant neoplasm of skin}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: VS: T 97, BP 118/70, RR 16, O2 98% on RA Gen: appears comfortable, talkative and pleasant HEENT: L temporal surgical wound healing, slight purulence when pressed most pronounced at hairline, erythema is most pronounced around the wound but extends down to his mandible. He is very tender around the suture and mildly tender down the L lateral aspect of his face. Neck: supple Cardiovascular: regular, no murmur Respiratory: Clear to auscultation bilaterally, no wheezes, rales or rhonchi Abd: Soft, non-tender, non distended, no heptosplenomegally, bowel sounds present, abdominal scar from splenectomy Extremities: warm, no edema Neurological: grossly intact Skin: L temporal area described above. Otherwise, he has diffuse actinic keratoses, most pronounced on his back and scalp. ###RESPONSE: VS {Vital signs finding}, T {Body temperature finding}, BP {Blood pressure finding}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, RA {Breathing room air}, Gen {General examination of patient}, HEENT {Physical examination procedure}, L temporal {Structure of left temporal bone}, surgical wound {Surgical wound}, healing {Wound healed}, purulence {Purulent discharge from wound}, erythema {Erythema}, wound {Wound}, mandible {Bone structure of mandible}, tender {Abdominal tenderness}, tender {Abdominal tenderness}, L lateral aspect of his face {Structure of left half of face}, Neck {Physical examination procedure}, supple {Normal movement of neck}, Cardiovascular {Cardiovascular physical examination}, regular {Normal heart rate}, murmur {Murmur}, Respiratory {Examination of respiratory system}, Clear to auscultation bilaterally {Normal breath sounds}, wheezes {Wheezing}, rales {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, Abd {Examination of abdomen}, Soft {Abdomen soft}, non-tender {Abdominal tenderness}, distended {Swollen abdomen}, heptosplenomegally {Hepatosplenomegaly}, bowel sounds present {Normal bowel sounds}, abdominal scar {Abdominal skin scar}, splenectomy {Splenectomy}, Extremities {Examination of limb}, warm {Warm skin}, edema {Edema}, Neurologic {Neurological examination}, grossly intact {Normal nervous system function}, Skin {Examination of skin}, temporal {Structure of left temporal bone}, actinic keratoses {Actinic keratosis}, back {Structure of back of trunk}, scalp {Scalp structure}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ 06:30PM WBC-24.4*# RBC-4.59* HGB-14.2 HCT-41.9 MCV-91 MCH-31.0 MCHC-33.9 RDW-13.5 ___ 07:27AM BLOOD WBC-17.5* RBC-4.22* Hgb-13.3* Hct-39.1* MCV-93 MCH-31.4 MCHC-33.9 RDW-13.4 Plt ___ year-old man with a history of squamous cell carcinoma s/p Mohs to the L temporal area on ___. Since the surgery, he has been having headaches, gradually worsening. He has not been able to eat much since ___ due to the pain. It now extends from his forehead down to his mandible on the L. . In the ED, initial VS T 99.9, BP 144/87, HR 93, RR 16, O2 96% RA. Exam was notable for infected-appearing wound on L temporal area. Labs notable for leukocytosis. Dermatology saw him and recommended IV MRSA coverage and observation overnight. He was given 1g vancomycin and admitted. . His elevated temperature resolved with administration of 2 doses of IV vancomycin. WBC count on ED presentation was 24.4 and on day of discharge was 17.5. Pain was also subjectively much improved. Gram stain of wound revealed gram positive cocci in pairs. Wound and blood culture and sensitity remain pending. Dermatology was consulted and recommended follow-up appointment in their surgery clinic on ___ at 2PM and outpatient oral antibiotic therapy. Patient was prescribed Bactrim DS PO x 14 days. . His other medical problems were stable and no changes were made to the medications other than adding Bactrim DS for his current skin infection. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, HGB {Measurement of total hemoglobin concentration}, HCT {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, squamous cell carcinoma {Squamous cell carcinoma}, Mohs {Mohs surgery}, L temporal {Left temporal lobe structure}, surgery {Surgical procedure}, headaches {Headache}, worsening {Increased pain}, has not been able to eat {Unable to eat}, pain {Pain}, forehead {Forehead structure}, mandible {Bone structure of mandible}, VS {Vital signs finding}, BP {Blood pressure finding}, HR {Finding of heart rate}, RR {Finding of rate of respiration}, O2 {Oxygen saturation measurement}, infected-appearing wound {Local infection of wound}, L temporal {Left temporal lobe structure}, leukocytosis {Leukocytosis}, elevated temperature {Body temperature above reference range}, resolved {Problem resolved}, WBC {White blood cell count}, Pain {Pain}, improved {Patient's condition improved}, Gram stain {Gram stain method}, wound {Wound}, Wound {Wound}, blood culture {Blood culture}, oral antibiotic therapy {Oral antibiotic therapy}, stable {Patient's condition stable}, infection {Infectious disease}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: simvastatin 5 mg daily finasteride 5 mg dialy Discharge Medications: 1. Ibuprofen 400 mg Tablet Sig: Two (2) Tablet PO Q8H (every 8 hours) as needed for pain. Disp:*20 Tablet(s)* Refills:*0* 2. Finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 3. Simvastatin 10 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 4. Bactrim DS 800-160 mg Tablet Sig: Two (2) Tablet PO twice a day for 14 days. Disp:*56 Tablet(s)* Refills:*0* ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: L Facial cellulitis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: L Facial {Structure of left half of face}, cellulitis {Cellulitis}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: You were admitted to ___ for fever and a skin infection. You were started on IV vancomycin in the ED and continued on admission. Your fever resolved and your pain improved. In addition, your white blood cell count is appropriately responding to the antibiotic therapy. Your infection treatment with antibiotics will be continued as oral Bactrim DS 2 pills twice daily for 14 days. You should continue your home medications as written in this discharge document. . The Following CHANGES have been made: You were STARTED on BACTRIM DS 2 pills twice per day for 14 days for the infection. . Please follow up with your dermatologist on ___ on ___ at 2pm ___ ___ Center Dermatologic Surgery clinic . ###RESPONSE: fever {Fever}, skin infection {Infection of skin and/or subcutaneous tissue}, fever {Fever}, resolved {Problem resolved}, pain improved {Sensation of pain reduced}, white blood cell count {White blood cell count}, antibiotic therapy {Antibiotic therapy}, infection {Infectious disease}, antibiotics {Antibiotic therapy}, infection {Infectious disease}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: Chocolate Flavor / Atenolol Attending: ___. Chief Complaint: Lethargy, speech difficulties, word-finding difficulties Major Surgical or Invasive Procedure: None ###RESPONSE: Atenolol {Allergy to atenolol}, Lethargy {Lethargy}, speech difficulties {Has difficulty with speech}, word-finding difficulties {Word finding difficulty}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: Mr. ___ is a ___ year old gentleman seen recently in the ED for a fall returning with lethargy, slurred & repeated speech, difficult with word finding. 4 days prior to admission, the patient was out at the ___, was pushed from a standing position and fell on his knees. Since that time he has had considerable pain, and decreased mobility. The morning prior to admission, he awoke with decreased appetite, had lethargy and then later developed difficulty with word finding, right leg weakness and slurred speech. He called into ___ and he was referred to the ED for possible stroke work up. . In the ED, Initial VS: 102 67 140/67 18 96%RA. Patient received Tylenol CTX, Azithro for CAP/retrocardiac opacity on CXR. Neuro recommended infectious work up and will follow in consult. Transfer VS: 98.0 63 116/40 16 98%RA. . On arrival to the floor, the patient is comfortable, and per niece, back to baseline. He denies any discomfort or any recent indications of illness: fevers, chills, cough, chest pain, dyspnea, sputum, abdominal pain, nausea, vomiting, dysuria. He and his niece report cough and some malaise over last two days. . Review of Systems: (+) Per HPI (-) Denies fever, chills, night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Denies chest pain or tightness, palpitations. Denies cough, shortness of breath, or wheezes. Denied nausea, vomiting, diarrhea, constipation or abdominal pain. No recent change in bowel or bladder habits. No dysuria. Denies arthralgias or myalgias. Denies rashes or skin breakdown. No numbness/tingling in extremities. No feelings of depression or anxiety. All other review of systems negative. ###RESPONSE: fall {Elderly fall}, lethargy {Lethargy}, slurred {Slurred speech}, difficult with word finding {Word finding difficulty}, standing position {Orthostatic body position}, fell {Elderly fall}, knees {Knee region structure}, pain {Pain}, decreased mobility {Reduced mobility}, decreased appetite {Decrease in appetite}, lethargy {Lethargy}, difficulty with word finding {Word finding difficulty}, right leg {Structure of right lower leg}, weakness {Monoparesis of lower limb}, slurred speech {Slurred speech}, stroke {Cerebrovascular accident}, RA {Breathing room air}, opacity {Abnormally opaque structure}, CXR {Plain chest X-ray}, RA {Breathing room air}, discomfort {Discomfort}, fevers {Fever}, chills {Chill}, cough {Cough}, chest pain {Chest pain}, dyspnea {Dyspnea}, sputum {No sputum}, abdominal pain {Abdominal pain}, nausea {Nausea}, vomiting {Vomiting}, dysuria {Dysuria}, cough {Cough}, malaise {Malaise}, fever {Fever}, chills {Chill}, night sweats {Night sweats}, recent weight loss {Recent weight loss}, gain {Recent weight gain}, headache {Headache}, tenderness {Tenderness}, rhinorrhea {Nasal discharge}, congestion {Nasal congestion}, chest pain {Chest pain}, tightness {Tight chest}, palpitations {Palpitations}, cough {Cough}, shortness of breath {Dyspnea}, wheezes {Wheezing}, nausea {Nausea}, vomiting {Vomiting}, diarrhea {Diarrhea}, constipation {Constipation}, abdominal pain {Abdominal pain}, change in bowel {Altered bowel function}, bladder {Urinary bladder structure}, dysuria {Dysuria}, arthralgias {Joint pain}, myalgias {Muscle pain}, rashes {Eruption of skin}, skin breakdown {Broken skin}, No numbness/tingling {Numbness and tingling sensation of skin}, extremities {Limb structure}, depression {Depressive disorder}, anxiety {Anxiety}, review of systems {Review of systems}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: - Atrial Fibrillation - Prostate cancer - Hypertension - Hyperlipidemia - Type two diabetes mellitus - Osteoporosis ###RESPONSE: Atrial Fibrillation {Atrial fibrillation}, Prostate cancer {Carcinoma of prostate}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, Type two diabetes mellitus {Diabetes mellitus type 2}, Osteoporosis {Osteoporosis}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Non-contributory ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: (At time of admission) VS: 97.7 130/53 80 24 96% RA GEN: Elderly gentleman, well appearing and comfortable HEENT: No JVD, no LAD CV: S1 & S2 regular without murmur PULM: Bibasilar crackles, decreased LLL breath sounds ABD: NTND LIMBS: Bandaged knees, chronic stasis changes bilateral lower extremities, no edema NEURO: AAOx3, CN ii-xii grossly intact, gait deferred ###RESPONSE: VS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, HEENT {Physical examination procedure}, JVD {Jugular venous engorgement}, LAD {Lymphadenopathy}, CV {Cardiovascular physical examination}, S2 {Normal second heart sound, S>2<}, murmur {Murmur}, PULM {Examination of respiratory system}, Bibasilar {Structure of base of lung}, crackles {Respiratory crackles}, ABD {Examination of abdomen}, ND {Swollen abdomen}, LIMBS {Examination of limb}, Bandaged {Application of bandage}, knees {Knee region structure}, stasis {Stasis}, lower extremities {Lower limb structure}, edema {Edema}, NEURO {Neurological examination}, Ox3 {Oriented to person, time and place}, CN ii {Optic nerve structure}, xii {Hypoglossal nerve structure}, grossly intact {Normal nervous system function}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: Chest X-ray ___ FRONTAL AND LATERAL VIEWS OF THE CHEST: Lung volumes are low. Streaky opacity at the lung bases likely due to atelectasis. There is stable eventration of the right hemidiaphragm. Increased density in the retrocardiac area and seen laterally at the left lung base are concerning for infectious process. There is calcification of the aortic knob, unchanged with a slightly tortuous aorta. Heart size is mildly enlarged with prominent left atrium. There is no pleural effusion or pneumothorax. IMPRESSION: Increased patchy opacities at the left lung base concerning for pneumonia/aspiration. Head CT ___ FINDINGS: There is no acute intracranial hemorrhage, large areas of edema, large masses or mass effect. Periventricular white matter hypodensities is consistent with chronic small vessel ischemic changes. There is preservation of normal gray-white matter differentiation. The ventricles and sulci are normal in size and configuration given the patient's age. Soft tissues of the orbits and nasopharynx are within normal limits. The visualized paranasal sinuses and mastoid air cells are clear. No fractures are identified. IMPRESSION: No acute intracranial process. No acute hemorrhage. Laboratories on day of discharge: WBC 6.5, Hemoglobin 11.3, Hematocrit 33.5, Platelets 196, MCV 89 INR 3.7 Na 135, K 3.3, Cl 102, HCO3 25, BUN 52, Creatinine 1.5, Glucose 118 Ca 8.4, Mg 2.3, P 3.1 CK 308 ###RESPONSE: Chest X-ray {Plain chest X-ray}, CHEST {Thoracic structure}, Lung {Lung structure}, opacity {Abnormally opaque structure}, lung bases {Structure of base of lung}, atelectasis {Atelectasis}, stable {Patient's condition stable}, eventration {Eventration}, right hemidiaphragm {Structure of right hemidiaphragm}, left lung {Left lung structure}, infectious process {Infectious disease}, calcification of the aortic knob {Aortic valve calcification}, aorta {Aortic structure}, Heart {Heart structure}, left atrium {Left atrial structure}, pleural effusion {Pleural effusion}, pneumothorax {Pneumothorax}, opacities {Abnormally opaque structure}, the left lung base {Structure of base of left lung}, pneumonia {Pneumonia}, aspiration {Aspiration pneumonia}, intracranial hemorrhage {Intracranial hemorrhage}, edema {Edema}, mass {Mass}, mass {Mass}, Periventricular white matter {Structure of periventricular white matter}, chronic {Chronic disease}, small vessel {Structure of small blood vessel (organ)}, ischemic {Ischemia}, ventricles {Brain ventricle structure}, Soft tissues of the orbits {Structure of soft tissues of orbit}, nasopharynx {Nasopharyngeal structure}, paranasal sinuses {Nasal sinus structure}, and mastoid air cells {Structure of mastoid cell}, fractures {Fracture}, intracranial {Intracranial structure}, acute hemorrhage {Acute hemorrhage}, Hematocrit {Hematocrit determination}, Platelets {Platelet}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: #) Altered mental status: Initially concerning for stroke or bleed given history of anticoagulation and recent fall (though denied hitting head), however head CT did not demonstrate any bleed. Neurology was consulted in the emergency room and evaluated the patient. Based on his fever and chest x-ray findings, it was felt that his symptoms represented metabolic encephalopathy secondary to his febrile infection. His mental status improved during his admission, and his neurologic examination remained non-focal. <br> #) Fever: Urine analysis not consistent with urinary tract infection, with culture negative for 24 hours. Chest x-ray was concerning for pneumonia at the left base. No other localizing symptoms or findings on examination. Patient was given ceftriaxone and azithromycin in the emergency room along with acetaminophen. He remained afebrile after that time, without any leukocytosis. - He should continue azithromycin for 2 more days, and cefpodoxine 200 mg Q12 hours for 4 additional days. - Blood cultures were pending at time of discharge, but were negative. Final cultures should be followed up from rehabilitation. <br> #) Atrial fibrillation: Patient's INR was elevated at time of admission, so his warfarin was held. He is not on any rate-controlling agents at home and had good rate control (high 40's to 60's) during his admission. - His INR should be check day after discharge, and warfarin resumed and adjusted accordingly. <br> #) Hypertension: His blood pressure medications were held initially to monitor for any hypotension given altered mental status and febrile state, they were resumed day of discharge when his systolic pressure was 160 in the morning. <br> #) Hyperlipidemia: Continue pravastatin <br> #) Renal insufficiency: Baseline values in our system are varied, 1.1-1.3 or 1.4. FeUrea was 36%, which was on the cut-off for being consistent with pre-renal etiology. His function remained stable slightly above baseline at 1.4-1.5 during admission. He was encouarged to take PO's during his first day, and his home medications werer re-started on day two. Given small blood seen in urine analysis, CK was checked to evaluate for rhabdomyolysis, which was 308. <br> #) Anemia: Patient had mild normocytic anemia during his stay. Iron studies, B-12, and folate were pending at time of discharge and may be followed up on an outpatient basis. <br> #) Diabetes Mellitus: Patient's blood sugars were mildly elevated during his admission (100-120's), but he was not treated, as wished to avoid hypoglycemia. <br> #) Osteoporosis: Continued vitamin D, calcium, and alendronate. <br> #) Status-post fall earlier in week: Patient was evaluated by physical therapy, who felt a short stay at rehabilitation was appropriate. ###RESPONSE: Altered mental status {Altered mental status}, stroke {Cerebrovascular accident}, bleed {Bleeding}, anticoagulation {Anticoagulant therapy}, fall {Falls}, head {Head structure}, head CT {Computed tomography of head}, bleed {Hemorrhage}, fever {Fever}, chest x-ray {Plain chest X-ray}, metabolic encephalopathy {Metabolic encephalopathy}, febrile {Fever}, infection {Infectious disease}, mental status {Mental state finding}, improved {Patient's condition improved}, neurologic examination {Neurological examination}, Fever {Fever}, Urine analysis {Urinalysis}, urinary tract infection {Urinary tract infectious disease}, culture {Urine culture}, Chest x-ray {Plain chest X-ray}, pneumonia {Pneumonia}, left base {Structure of base of left lung}, leukocytosis {Leukocytosis}, Blood cultures {Blood culture}, cultures {Microbial culture}, rehabilitation {Rehabilitation therapy}, Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, hypotension {Low blood pressure}, altered mental status {Altered mental status}, febrile {Fever}, Hyperlipidemia {Hyperlipidemia}, Renal insufficiency {Renal insufficiency}, Baseline {Baseline state}, rhabdomyolysis {Rhabdomyolysis}, Anemia {Anemia}, normocytic anemia {Normocytic anemia}, Diabetes Mellitus {Diabetes mellitus}, hypoglycemia {Hypoglycemia}, Osteoporosis {Osteoporosis}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: Alendronate 70mg PO Q week Pravastatin 20mg PO daily Spironolactore-HCTZ 25mg-25mg PO daily Warfarin 1.25mg PO Daily Calcium/Vitamin D Colace 100mg PO BID Discharge Medications: 1. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2) Tablet PO DAILY (Daily). 2. Pravastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Azithromycin 250 mg Tablet Sig: One (1) Tablet PO Q24H (every 24 hours) for 2 days. Disp:*2 Tablet(s)* Refills:*0* 4. Cefpodoxime 200 mg Tablet Sig: One (1) Tablet PO every twelve (12) hours for 4 days. Disp:*8 Tablet(s)* Refills:*0* 5. Alendronate 70 mg Tablet Sig: One (1) Tablet PO once a week. 6. Calcium Carbonate-Vit D3-Min 600-400 mg-unit Tablet Sig: One (1) Tablet PO twice a day. 7. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 8. Aldactazide ___ mg Tablet Sig: One (1) Tablet PO once a day. ###RESPONSE: mg {Blood magnesium measurement}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Extended Care Facility: ___ Discharge Diagnosis: Primary diagnosis: - Pneumonia Secondary diagnoses: - Atrial fibrillation - Hypertension - Hyperlipidemia - History of prostate cancer Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). ###RESPONSE: Pneumonia {Pneumonia}, Atrial fibrillation {Atrial fibrillation}, Hypertension {Hypertensive disorder, systemic arterial}, Hyperlipidemia {Hyperlipidemia}, prostate cancer {Carcinoma of prostate}, Mental Status {Mental state finding}, Level of Consciousness {Finding of level of consciousness}, Alert {Mentally alert}, Ambulatory - requires assistance or aid {Finding of walking aid use}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: You were admitted for concern over word-finding difficulties and changes in your speech. After evaluation, it was found that you had a pneumonia, and it was likely that the fevers were contributing to the changes in your mental status. We have made the following changes to your medications: - STARTED an antibiotic called Cefpodoxine 200 mg every 12 hours for 4 days - STARTED an antibiotic called Azithromycin 250 mg daily for 2 days No other changes were made to your medications. ###RESPONSE: word-finding difficulties {Word finding difficulty}, evaluation {Evaluation procedure}, pneumonia {Pneumonia}, fevers {Fever}, mental status {Mental state finding}, antibiotic {Antibiotic therapy}, antibiotic {Antibiotic therapy}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: R knee pain Major Surgical or Invasive Procedure: R patellar tendon rupture ###RESPONSE: No Known Allergies {Allergic disposition}, Adverse Drug Reactions {Propensity to adverse reactions to drug}, knee pain {Pain of knee region}, R patellar tendon rupture {Traumatic rupture of right patellar tendon}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: He was playing softball 1 hour prior to his presentation to the emergency department, he was jogging slowly, turning suddenly and felt a pop. He felt immediate pain in his knee and fell to the ground but did not hit his head or lose consciousness. He is unable to move his knee afterwards actively. ###RESPONSE: emergency {Emergency treatment management}, pain in his knee {Pain of knee region}, fell {Falls}, head {Head structure}, lose consciousness {Loss of consciousness}, unable to move his knee {No knee movement}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: none ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: none ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: Gen:NAD RLE: dressing c/d/I knee immobilizer in place fires ___ foot WWP ###RESPONSE: Gen {General examination of patient}, NAD {No abnormality detected}, RLE {Structure of right lower limb}, dressing {Application of dressing}, knee immobilizer {Application of knee immobilizer}, in place {Device in situ}, foot {Foot structure}, WWP {Normal tissue perfusion}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ___ 05:15AM BLOOD WBC-8.0 RBC-4.35* Hgb-13.2* Hct-39.5* MCV-91 MCH-30.3 MCHC-33.4 RDW-12.7 RDWSD-41.5 Plt ___ ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCV {Erythrocyte mean corpuscular volume determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: The patient presented to the emergency department and was evaluated by the orthopedic surgery team. The patient was found to have a R patellar tendon rupture and was admitted to the orthopedic surgery service. The patient was taken to the operating room on ___ for R patellar tendon repair, which the patient tolerated well. For full details of the procedure please see the separately dictated operative report. The patient was taken from the OR to the PACU in stable condition and after satisfactory recovery from anesthesia was transferred to the floor. The patient was initially given IV fluids and IV pain medications, and progressed to a regular diet and oral medications by POD#1. The patient was given ___ antibiotics and anticoagulation per routine. The patient's home medications were continued throughout this hospitalization. The patient worked with ___ who determined that discharge to home was appropriate. The ___ hospital course was otherwise unremarkable. At the time of discharge the patient's pain was well controlled with oral medications, incisions were clean/dry/intact, and the patient was voiding/moving bowels spontaneously. The patient is weight bearing as tolerated in the right lower extremity, and will be discharged on aspirin for DVT prophylaxis. The patient will follow up with Dr. ___ routine. A thorough discussion was had with the patient regarding the diagnosis and expected post-discharge course including reasons to call the office or return to the hospital, and all questions were answered. The patient was also given written instructions concerning precautionary instructions and the appropriate follow-up care. The patient expressed readiness for discharge. ###RESPONSE: emergency {Emergency treatment management}, evaluated by the orthopedic surgery team {Orthopedic assessment}, patellar tendon rupture {Rupture of patellar tendon}, admitted to the orthopedic surgery service {Admission by orthopedic surgeon}, patellar tendon repair {Repair of patellar tendon}, procedure {Procedure}, PACU {Postanesthesia care}, stable condition {Patient's condition stable}, anesthesia {Administration of general anesthetic}, given IV fluids {Administration of intravenous fluids}, IV {Intravenous therapy}, pain medications {Administration of analgesic}, regular diet {Normal diet}, oral medications {Administration of drug or medicament via oral route}, antibiotics {Antibiotic therapy}, anticoagulation {Anticoagulant therapy}, unremarkable {No abnormality detected}, pain was well controlled with oral medications {Demonstrates adequate pain control with oral analgesics}, incisions {Incision}, clean/dry/intact {Wound healing well}, voiding {Normal micturition}, moving bowels spontaneously {Normal bowel habits}, weight bearing {Weight-bearing}, right lower extremity {Structure of right lower limb}, aspirin {Administration of aspirin}, DVT prophylaxis {Prevention of deep vein thrombosis}, follow up {Follow-up arranged}, discussion {Patient education}, call the office {Recommendation regarding contacting someone}, instructions {Patient education}, instructions {Patient education}, follow-up care {Postoperative procedure education}, readiness for discharge {Ready for discharge}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: None. Discharge Medications: 1. Acetaminophen 1000 mg PO Q8H 2. Aspirin 325 mg PO DAILY RX *aspirin 325 mg 1 (One) tablet(s) by mouth once a day Disp #*30 Tablet Refills:*0 3. Docusate Sodium 100 mg PO BID 4. OxyCODONE (Immediate Release) ___ mg PO Q4H:PRN Pain - Moderate RX *oxycodone 5 mg ___ capsule(s) by mouth every three to six hours Disp #*25 Capsule Refills:*0 5.Outpatient Physical Therapy WBAT RLE in ___ brace locked in extension. Evaluate and treat. 6.Crutches Diagnosis: right patellar tendon rupture Prognosis: good Length of need: 13 months ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: R patellar tendon rupture Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. ###RESPONSE: R patellar tendon rupture {Traumatic rupture of right patellar tendon}, Mental Status {Neurological mental status determination}, Clear {Normal state of mind}, Level of Consciousness {Assessment of consciousness level}, Alert {Mentally alert}, interactive {Does communicate}, Activity Status {Physical functional dependency}, Ambulatory - Independent {Independent walking}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: INSTRUCTIONS AFTER ORTHOPAEDIC SURGERY: - You were in the hospital for orthopedic surgery. It is normal to feel tired or "washed out" after surgery, and this feeling should improve over the first few days to week. - Resume your regular activities as tolerated, but please follow your weight bearing precautions strictly at all times. ACTIVITY AND WEIGHT BEARING: - WBAT RLE locked in extension in ___ brace MEDICATIONS: 1) Take Tylenol ___ every 6 hours around the clock. This is an over the counter medication. 2) Add *** as needed for increased pain. Aim to wean off this medication in 1 week or sooner. This is an example on how to wean down: Take 1 tablet every 3 hours as needed x 1 day, then 1 tablet every 4 hours as needed x 1 day, then 1 tablet every 6 hours as needed x 1 day, then 1 tablet every 8 hours as needed x 2 days, then 1 tablet every 12 hours as needed x 1 day, then 1 tablet every before bedtime as needed x 1 day. Then continue with Tylenol for pain. 3) Do not stop the Tylenol until you are off of the narcotic medication. 4) Per state regulations, we are limited in the amount of narcotics we can prescribe. If you require more, you must contact the office to set up an appointment because we cannot refill this type of pain medication over the phone. 5) Narcotic pain relievers can cause constipation, so you should drink eight 8oz glasses of water daily and continue following the bowel regimen as stated on your medication prescription list. These meds (senna, colace, miralax) are over the counter and may be obtained at any pharmacy. 6) Do not drink alcohol, drive a motor vehicle, or operate machinery while taking narcotic pain relievers. 7) Please take all medications as prescribed by your physicians at discharge. 8) Continue all home medications unless specifically instructed to stop by your surgeon. ANTICOAGULATION: - Please take aspirin 81 mg daily for 4 weeks WOUND CARE: - You may shower. No baths or swimming for at least 4 weeks. - Any stitches or staples that need to be removed will be taken out at your 2-week follow up appointment. - Incision may be left open to air unless actively draining. If draining, you may apply a gauze dressing secured with paper tape. - Splint must be left on until follow up appointment unless otherwise instructed. - Do NOT get splint wet. DANGER SIGNS: Please call your PCP or surgeon's office and/or return to the emergency department if you experience any of the following: - Increasing pain that is not controlled with pain medications - Increasing redness, swelling, drainage, or other concerning changes in your incision - Persistent or increasing numbness, tingling, or loss of sensation - Fever > 101.4 - Shaking chills - Chest pain - Shortness of breath - Nausea or vomiting with an inability to keep food, liquid, medications down - Any other medical concerns FOLLOW UP: Please follow up with your Orthopaedic Surgeon, Dr. ___. You will have follow up with ___, NP in the Orthopaedic Trauma Clinic 14 days post-operation for evaluation. Call ___ to schedule appointment upon discharge. Please follow up with your primary care doctor regarding this admission within ___ weeks and for any new medications/refills. Please follow up with your primary care doctor regarding this admission within ___ weeks and for and any new medications/refills. Physical Therapy: WBAT locked in extension Treatments Frequency: Any staples or superficial sutures you have are to remain in place for at least 2 weeks postoperatively. Incision may be left open to air unless actively draining. If draining, you may apply a gauze dressing secured with paper tape. You may shower and allow water to run over the wound, but please refrain from bathing for at least 4 weeks postoperatively. ###RESPONSE: orthopedic surgery {Operation on musculoskeletal system}, tired {Tired}, washed out {Exhaustion}, after surgery {Postoperative state}, activities as tolerated {Education about increasing activity tolerance}, weight bearing {Weight-bearing}, precautions {Safety precautions}, WBAT {Weight-bearing gait training}, RLE {Structure of right lower limb}, increased pain {Increased pain}, medication {Administration of drug or medicament}, Tylenol {Administration of analgesic}, for pain {Pain relief}, Do not stop the Tylenol until you are off of the narcotic medication {Narcotics education}, narcotics {Narcotherapy}, pain medication {Administration of analgesic}, Narcotic pain relievers can cause {Narcotics education}, constipation {Constipation}, bowel regimen {Bowel care}, medication prescription {Prescription of drug}, meds {Administration of drug or medicament}, senna, colace {Administration of laxative}, Do not drink alcohol {Education about alcohol consumption}, drive a motor vehicle {Unable to drive a car}, while taking narcotic pain relievers {Narcotics education}, Please take all medications as prescribed {Patient medication education}, medications {Administration of drug or medicament}, may shower {Wound treatment education}, stitches {Removal of suture}, staples that need to be removed {Removal of staples}, Incision {Surgical incision wound}, draining {Wound discharge}, draining {Wound discharge}, apply a gauze dressing {Application of dressing}, Splint {Application of splint}, PCP {Primary care management}, return to the emergency {Emergency treatment education}, Increasing pain {Increased pain}, pain medications {Administration of analgesic}, Increasing {Patient's condition worsened}, redness {Redness of skin over lesion}, swelling {Swelling}, drainage {Wound discharge}, incision {Surgical incision wound}, increasing {Patient's condition worsened}, numbness, tingling {Numbness and tingling sensation of skin}, loss of sensation {Numbness}, Fever {Fever}, Shaking {Tremor}, chills {Chill}, Chest pain {Chest pain}, Shortness of breath {Dyspnea}, Nausea {Nausea}, vomiting {Vomiting}, inability to keep food {Unable to eat}, liquid {Unable to drink}, medications {Administration of drug or medicament}, post-operation {Postoperative state}, evaluation {Evaluation procedure}, primary care {Primary care management}, new medications {New medication commenced}, primary care {Primary care management}, new medications {New medication commenced}, WBAT {Weight-bearing gait training}, staples {Closure by staple}, sutures {Closure by suture}, in place {Device in situ}, postoperatively {Postoperative state}, Incision {Surgical incision wound}, draining {Wound discharge}, draining {Wound discharge}, apply a gauze dressing {Application of dressing}, may shower {Wound treatment education}, water to run over the wound {Irrigation of wound}, postoperatively {Postoperative state}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: ___ cardioversion - ___ ###RESPONSE: Adverse Drug Reactions {Propensity to adverse reactions to drug}, Dyspnea {Dyspnea}, cardioversion {Cardioversion}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: History of Present Illness: ___ with AFib s/p DCCV ___ on apixaban, bicuspid aortic valve with mild AS, hyperlipidemia, OSA on CPAP, sarcoidosis, presents with dyspnea, AFib with RVR, acute CHF. ___ was recently admitted in ___ for AFib with RVR. ___ was treated with IV diltiazem and transitioned to oral agents. ___ was given Lasix 20 IV for mild volume overload. ___ had sinus pauses on telemetry thought to be due to OSA. ___ was started on apixaban for anticoagulation. On ___, ___ had elective ___ with successful electrical cardioversion of atrial fibrillation to sinus rhythm. ___ was seen by Dr. ___ on ___. The patient was noticed to be in acute heart failure but the patient strongly preferred outpatient treatment and so his torsemide dose was increased from 40mg to 120mg. ___ had some success with this and lost 14 lbs. ___ uses 3 pillows at baseline and has recent PND. Over past day, ___ developed increasing dyspnea on exertion. ___ presented to ___ ED, BNP was ___, troponin negative, and ___ was transferred here. In the ED, initial vital signs were: 98.3 100 ___ 95% RA - Labs were notable for: WBC stable. K 3.2. Mg 1.8. BUN/Cr ___. TnT neg. BNP 1317 (prior ___) - Imaging: OSH CXR R hilar adenopathy, mild R basilar patchiness, no significant change from prior CXR ___ - The patient was given: ___ 21:48 PO/NG Apixaban 5 mg ___ 23:57 IV Furosemide 80 mg - Consults: Atrius Cards- admit Upon arrival to the floor, patient has no complaints. ROS per HPI otherwise negative in 14-point review. ###RESPONSE: AFib {Atrial fibrillation}, DCCV {Direct current cardioversion}, bicuspid aortic valve {Bicuspid aortic valve}, hyperlipidemia {Hyperlipidemia}, OSA {Obstructive sleep apnea syndrome}, sarcoidosis {Sarcoidosis}, dyspnea {Dyspnea}, AFib with RVR {Atrial fibrillation with rapid ventricular response}, AFib with RVR {Atrial fibrillation with rapid ventricular response}, IV {Intravenous therapy}, IV {Intravenous therapy}, sinus pauses {Sinus arrest}, telemetry {Electroencephalogram telemetry}, OSA {Obstructive sleep apnea syndrome}, anticoagulation {Anticoagulant therapy}, electrical cardioversion {Direct current cardioversion}, atrial fibrillation {Atrial fibrillation}, sinus rhythm {Sinus rhythm}, acute heart failure {Acute heart failure}, baseline {Baseline state}, dyspnea on exertion {Dyspnea on exertion}, vital signs {Vital signs finding}, RA {Breathing room air}, stable {Patient's condition stable}, Imaging {Imaging}, CXR {Plain chest X-ray}, hilar adenopathy {Hilar lymphadenopathy}, CXR {Plain chest X-ray}, IV {Intravenous therapy}, no complaints {No complaints}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Past Medical History: Venous stasis A-fib s/p cardioversion in ___ OSA (obstructive sleep apnea) on cpap Lymphadenopathy Hypertension Aortic stenosis, mild ED (erectile dysfunction) Hyperlipidemia Mediastinal adenopathy - found to have sarcoid ___ ###RESPONSE: Venous stasis {Venous stasis}, A-fib {Atrial fibrillation}, cardioversion {Cardioversion}, OSA (obstructive sleep apnea {Obstructive sleep apnea syndrome}, Lymphadenopathy {Lymphadenopathy}, Hypertension {Hypertensive disorder, systemic arterial}, Aortic stenosis {Aortic valve stenosis}, erectile dysfunction {Erectile dysfunction}, Hyperlipidemia {Hyperlipidemia}, Mediastinal {Mediastinal structure}, adenopathy {Lymphadenopathy}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Social History: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Family History: Father died at ___ getting CABG Twin brothers died from alpha 1 antitrypsin ###RESPONSE: died {Dead}, CABG {Coronary artery bypass grafting}, died {Dead}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Physical Exam: ADMISSION PHYSICAL EXAM: VITALS: T98.1 ___ 21 96RA 153.5kg GEN: Morbidly obese middle aged male in no distress NECK: JVP not visible due to thick neck HEART: Irreg irreg, normal S1 S2, no murmurs LUNGS: Basilar crackles ABD: Soft, NT, mildly distended, normal BS EXT: 3+ edema to calves bilaterally, 2+ DP and ___ pulses DISCHARGE PHYSICAL EXAM: VS: T97.8 103/82-128/83 ___ 98RA and CPAP I/O: 8hr: ___ 24hr: 1320/3350 Weight: 153.5-> 150.2 -> 150-> 149.3->149.4 GEN: Morbidly obese middle aged male in no distress , sitting in recliner chair NECK: JVP difficult to assess w thick neck HEART: Distant heart sounds, regular, no murmurs LUNGS: CTAB, no wheezes, crackles, rhonchi ABD: Soft, NT, mildly distended, normal BS EXT: 1+ edema to knees bilaterally, 2+ DP pulses, R foot minimal erythema of R MTP, improved ###RESPONSE: PHYSICAL EXAM {Physical examination procedure}, VITALS {Vital signs finding}, RA {Breathing room air}, GEN {General examination of patient}, Morbidly obese {Morbid obesity}, distress {Distress}, NECK {Physical examination procedure}, JVP {Finding of jugular venous pressure}, neck {Neck structure}, HEART {Cardiovascular physical examination}, normal S1 {Normal first heart sound, S>1<}, S2 {Normal second heart sound, S>2<}, murmurs {Murmur}, LUNGS {Examination of respiratory system}, crackles {Respiratory crackles}, ABD {Examination of abdomen}, Soft {Abdomen soft}, NT {Abdominal tenderness}, distended {Swollen abdomen}, BS {Normal bowel sounds}, EXT {Examination of limb}, edema {Edema}, 2+ DP and ___ pulses {All pulses present in bilateral lower limbs}, RA {Breathing room air}, GEN {General examination of patient}, Morbidly obese {Morbid obesity}, distress {Distress}, sitting {Sitting position}, NECK {Physical examination procedure}, neck {Neck structure}, HEART {Cardiovascular physical examination}, Distant heart sounds {Heart sounds diminished}, murmurs {Murmur}, LUNGS {Examination of respiratory system}, CTAB {Normal breath sounds}, wheezes {Wheezing}, crackles {Respiratory crackles}, rhonchi {Wheeze - rhonchi}, ABD {Examination of abdomen}, Soft {Abdomen soft}, BS {Normal bowel sounds}, EXT {Examination of limb}, edema {Edema}, knees {Knee region structure}, 2+ DP pulses {All pulses present in bilateral lower limbs}, foot {Foot structure}, erythema {Erythema}, improved {Patient's condition improved}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Pertinent Results: ADMISSION LABS: ___ 09:45PM BLOOD WBC-7.3 RBC-4.48* Hgb-13.5* Hct-40.6 MCV-91 MCH-30.1 MCHC-33.3 RDW-14.7 RDWSD-48.3* Plt ___ ___ 09:45PM BLOOD Glucose-94 UreaN-15 Creat-0.8 Na-137 K-3.2* Cl-96 HCO3-28 AnGap-16 ___ 09:45PM BLOOD ___ PTT-34.1 ___ ___ 06:30AM BLOOD ALT-18 AST-20 AlkPhos-56 TotBili-0.8 ___ 09:45PM BLOOD proBNP-1317* ___ 09:45PM BLOOD cTropnT-<0.01 ___ 06:30AM BLOOD cTropnT-<0.01 ___ 09:45PM BLOOD Calcium-9.2 Phos-3.6 Mg-1.8 ___ 09:51PM BLOOD Lactate-1.3 DISCHARGE LABS: ___ 01:40PM BLOOD WBC-6.8 RBC-4.50* Hgb-13.4* Hct-41.5 MCV-92 MCH-29.8 MCHC-32.3 RDW-14.5 RDWSD-49.0* Plt ___ ___ 03:04PM BLOOD ___ ___ 01:40PM BLOOD Glucose-113* UreaN-22* Creat-0.9 Na-133 K-4.1 Cl-95* HCO3-26 AnGap-16 ___ 01:40PM BLOOD Calcium-9.2 Phos-3.7 Mg-2.2 MICRO IMAGING: ___ CXR: Limited exam for which repeat is suggested for more detailed evaluation. Enlarged right hilum could be due to pulmonary artery enlargement or underlying adenopathy and attention suggested on followup. ###RESPONSE: WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, PTT {Partial thromboplastin time, activated}, ALT {Alanine aminotransferase measurement}, AST {Aspartate aminotransferase measurement}, AlkPhos {Alkaline phosphatase measurement}, TotBili {Bilirubin, total measurement}, proBNP {N-terminal pro-brain natriuretic peptide measurement}, cTropnT {Troponin T cardiac measurement}, cTropnT {Troponin T cardiac measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, WBC {White blood cell count}, RBC {Red blood cell count}, Hgb {Measurement of total hemoglobin concentration}, Hct {Hematocrit determination}, MCH {Mean corpuscular hemoglobin determination}, MCHC {Mean corpuscular hemoglobin concentration determination}, RDW {Red cell distribution width determination}, RDWSD {Red cell distribution width determination}, Glucose {Glucose measurement, blood}, UreaN {Blood urea nitrogen measurement}, Creat {Creatinine measurement}, Na {Blood sodium measurement}, Cl {Chloride measurement, blood}, HCO3 {Blood bicarbonate measurement}, AnGap {Anion gap measurement}, Calcium {Blood calcium measurement}, Phos {Phosphate, total measurement}, Mg {Blood magnesium measurement}, evaluation {Evaluation procedure}, pulmonary artery {Pulmonary artery structure}, enlargement {Enlargement}, adenopathy {Lymphadenopathy}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Brief Hospital Course: ___ with AFib s/p DCCV ___ on apixaban, bicuspid aortic valve with mild AS, hyperlipidemia, OSA on CPAP, sarcoidosis, presents with dyspnea, AFib with RVR, acute CHF. # Afib with RVR. Symptomatic, up to 150s day of admission, started on sotalol with good effect in the hospital where QTc prolongation was monitored. Cardioversion performed ___ with return to sinus rhythm. Discharged on sotalol 160mg BID and apixaban due to h/o ___ clot in ___. Diltiazem was stopped because of conversion to sinus and presence of sotalol. # Acute on chronic systolic and diastolic heart failure: Cause of acute decompensation is likely from tachycardia-induced cardiomyopathy given AF with RVR. Recent outpatient TTE with impaired EF down to ___ with moderate global hypokinesis, mild AS, mild MR. ___ was found to be in acute heart failure in outpatient setting, and failed outpatient trial of increased torsemide (from 40 to 120mg daily). Good diuresis on Lasix so discharged on Lasix 40mg BID. Potassium levels stable at this dose. Weight at discharge 149.4kg, which should be approximate dry weight. Started on spironolactone 25mg, lisinopril 2.5mg. Recommended low salt diet with 2000mL fluid restriction daily and f/u with cardiology and PCP. #acute gouty flare: Describes having gout one previously. Morning of ___ complaining of R "foot" pain. R first MTP joint erythematous and swollen, tender to light touch. Given that ___ is anti-coagulated, colchicine is preferred first line treatment. Given 1.8mg day one and one week of 0.6mg prophylaxis. # Elevated INR: Admission INR 1.6, increased from previous admission in ___, where INR was 1.3-1.4. Likely from apixaban (can increase INR, though not predictable increases). # OSA on CPAP. History of some sinus pauses during last admission, used CPAP well during admission. ###RESPONSE: AFib {Atrial fibrillation}, DCCV {Direct current cardioversion}, bicuspid aortic valve {Bicuspid aortic valve}, hyperlipidemia {Hyperlipidemia}, OSA {Obstructive sleep apnea syndrome}, sarcoidosis {Sarcoidosis}, dyspnea {Dyspnea}, AFib with RVR {Atrial fibrillation with rapid ventricular response}, Afib with RVR {Atrial fibrillation with rapid ventricular response}, Cardioversion {Cardioversion}, sinus rhythm {Sinus rhythm}, clot {Blood clot}, sinus {Sinus rhythm}, chronic systolic and diastolic heart failure {Acute on chronic combined systolic and diastolic heart failure}, decompensation {Decompensation}, tachycardia-induced cardiomyopathy {Tachycardia-induced cardiomyopathy}, AF with RVR {Atrial fibrillation with rapid ventricular response}, TTE {Transthoracic echocardiography}, hypokinesis {Hypokinesis of cardiac wall}, MR {Mitral valve regurgitation}, acute heart failure {Acute heart failure}, diuresis {Diuresis}, Potassium levels {Finding of potassium level}, low salt diet {Low sodium diet}, fluid restriction {Fluid restriction}, PCP {Primary care management}, gout {Inflammatory disorder due to increased blood urate level}, foot" pain {Foot pain}, joint {Joint structure}, erythematous {Erythema}, tender {Tenderness}, first line treatment {First line treatment}, prophylaxis {Preventive procedure}, OSA {Obstructive sleep apnea syndrome}, sinus {Sinus arrest}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Medications on Admission: The Preadmission Medication list is accurate and complete. 1. Apixaban 5 mg PO BID 2. Sildenafil 20 mg PO DAILY:PRN ED 3. Diltiazem 90 mg PO TID 4. Torsemide 120 mg PO DAILY Discharge Medications: 1. Apixaban 5 mg PO BID 2. Colchicine 0.6 mg PO ONCE Duration: 1 Dose Take for one week. RX *colchicine 0.6 mg 1 capsule(s) by mouth daily Disp #*10 Capsule Refills:*0 3. Furosemide 40 mg PO BID Can take in the morning and mid-day. RX *furosemide 40 mg 1 tablet(s) by mouth twice daily Disp #*60 Tablet Refills:*0 4. Lisinopril 2.5 mg PO DAILY RX *lisinopril 2.5 mg 1 tablet(s) by mouth daily Disp #*30 Tablet Refills:*0 5. Sotalol 160 mg PO BID RX *sotalol [Betapace] 160 mg 1 tablet(s) by mouth twice daily Disp #*60 Tablet Refills:*0 6. Spironolactone 25 mg PO DAILY RX *spironolactone [Aldactone] 25 mg 1 tablet(s) by mouth daily Disp #*30 Tablet Refills:*0 7. Sildenafil 20 mg PO DAILY:PRN ED ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Disposition: Home Discharge Diagnosis: PRIMARY DIAGNOSES: Atrial fibrillation with RVR Acute on chronic systolic and diastolic heart failure (rEF with diastolic dysfunction) Acute gouty flare SECONDARY DIAGNOSES: OSA on CPAP Discharge Condition: Discharge condition stable. AOx3 Able to ambulate safely independently. ###RESPONSE: Atrial fibrillation with RVR {Atrial fibrillation with rapid ventricular response}, Acute on chronic systolic and diastolic heart failure {Acute on chronic combined systolic and diastolic heart failure}, diastolic dysfunction {Diastolic dysfunction}, OSA {Obstructive sleep apnea syndrome}, stable {Patient's condition stable}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Discharge Instructions: Dear Mr. ___, You came to the hospital because your heart was beating very fast and in an irregular rhythm. This is called atrial fibrillation ("A-fib") with rapid ventricular response. We started you on a medication to help control the rhythm, called sotalol, and performed a procedure to stop the afib (this procedure is cardioversion). You will need to keep taking the sotalol twice daily at home. You will stop the diltiazem you were taking, as well as the torsemide. You will keep taking the apixiban for blood thinner. You will also start Lasix twice daily, spironolactone daily and lisinopril daily. New meds ========== sotalol 160mg twice daily Lasix 40mg twice daily lisinopril 2.5mg daily spironolactone 25mg daily Stop taking these medications ============================= diltiazem torsemide Keep taking these medications ================================ apixiban You will follow up with Dr. ___ in ___. They are making the appointment for you and you should be contacted. Be Well, your ___ team ###RESPONSE: heart {Heart structure}, irregular {Irregular heart beat}, atrial fibrillation {Atrial fibrillation}, A-fib {Atrial fibrillation}, procedure {Procedure}, afib {Atrial fibrillation}, procedure {Procedure}, cardioversion {Cardioversion}, follow up {Follow-up arranged}

###HUMAN: Your task is to process the following fragment of a medical note, retrieving and listing all SNOMED annotations found inside. You will return an "EMPTY: No SNOMED annotations found in this fragment" if there are none. For any that you find, you will return a list of: "text {annotation}", where 'text' is the part of the text that corresponds to the annotation, and 'annotation' is the corresponding SNOMED-CT annotation. This is the text to analyze: ###TEXT: Followup Instructions: ___ ###RESPONSE: EMPTY: No SNOMED annotations found in this fragment