diff --git "a/task43_mednli_wrong_textual_entailment_generative.json" "b/task43_mednli_wrong_textual_entailment_generative.json" new file mode 100644--- /dev/null +++ "b/task43_mednli_wrong_textual_entailment_generative.json" @@ -0,0 +1,13510 @@ +{ + "Contributors": [ + "mednli authors" + ], + "Source": [ + "MedNLI" + ], + "URL": [ + "https://jgc128.github.io/mednli/" + ], + "Categories": [ + "Wrong Candidate Generation" + ], + "Definition": [ + "Next, your task is to generate some clearly wrong conclusion. Specifically, in following, you will be presented with a formal clinical premise statement. You should write a definitely contrary hypothesis statement based on it. " + ], + "Reasoning": [], + "Input_language": [ + "English" + ], + "Output_language": [ + "English" + ], + "Instruction_language": [ + "English" + ], + "Domains": [ + "Clinical Text" + ], + "Positive Examples": [], + "Negative Examples": [], + "Instances": [ + { + "input": "Labs were notable for cr 1.7 (baseline 0.5 per old records) and lactate 2.4.", + "output": "Patient has normal cr." + }, + { + "input": "Nystagmus and twiching of r arm was noted.", + "output": "The patient has a normal neuro exam." + }, + { + "input": "The patient was seen by his primary care physician after he had complained of a one-week history of dyspnea on exertion and jaw tightness.", + "output": "The patient has no symptoms." + }, + { + "input": "At [**hospital 1456**] hospital the patient was experiencing 10 out of 10 chest pain and received nitropaste two inches, three sublingual nitroglycerins, morphine 4 mg intravenously, lopressor 5 mg intravenously.", + "output": "The patient is asymptomatic." + }, + { + "input": "History of nephrolithiasis with hematuria 5.", + "output": "Patient has no history of kidney stones." + }, + { + "input": "Per patient, he took a combined 100+ pills of lisinopril, nifedipine, and atenolol late yesterday evening.", + "output": "The patient did not take extra medication." + }, + { + "input": "Temporary pacing wire was placed on [**11-7**] for persistent complete heart block, but per report the patient was not pacer dependent.", + "output": "The patient has normal cardiac function." + }, + { + "input": "On [**8-19**], he did finally have his cardiac catheterization which showed no flow limiting coronary artery disease but he did have an ascending aortic aneurysm of approximately six cm.", + "output": "Cardiac catheterization revealed flow limiting blockage." + }, + { + "input": "At [**hospital **] rehab, he was being treated with vanco/flagyl for suspected aspiration pneumonia.", + "output": "The patient is not on antibiotics." + }, + { + "input": "Arom at delivery yielded clear amniotic fluid.", + "output": "Patient has not been pregnant." + }, + { + "input": "Left dominant, mild left main, 50% left anterior descending and minimal luminal irregularities.", + "output": "There is no blockage in the coronary arteries." + }, + { + "input": "The patient began having symptoms of abdominal pain, nausea and vomiting similar to [** location **]us episodes of diverticulitis three weeks ago and about a week later presented to the [**hospital3 **] when she noted stool draining from her vagina and a ct scan at the outside hospital documented the enterovaginal fistula.", + "output": "She has no gastrointestinal dysfunction." + }, + { + "input": "She was started on dilantin.", + "output": "The patient has no pain issues." + }, + { + "input": "[**known patient firstname **] [**known patient lastname 6979**] is a 54-year-old woman with history of cns lymphoma who presents with increasing seizures and hypotension.", + "output": "The patient has no neurologic symptoms." + }, + { + "input": "At that time, he characterized his pain as chest tightening and burning, with associated radiation to his neck, jaw and arms.", + "output": "He denies pain." + }, + { + "input": "Metastatic renal cell carcinoma - diagnosed in [**4-/3406**] - s/p left radical nephrectomy [**5-13**] with pathology consistent with clear cell carcinoma - s/p right upper lobe wedge resection for pulmonary metastasis [**9-14**] - right frontal lobe brain metastasis s/p resection [**4-15**] with sterotactic radiosurgery to resection site [**5-16**] - s/p high dose il-2 [**11-15**] - s/p right bilobectomy (right upper and right middle lobe) [**1-16**] - s/p right chest wall resection [**11-17**] - s/p right lower lobe wedge resection [**4-18**] - t8 s/p cyberknife [**11-18**] - s/p sunitinib [**8-18**] complicated by hand foot syndrome, mucositis - rad001 trial [**1-18**] to present - s/p t8 and t9 vetebrectomy and recontruction [**3413-8-18**] hypertension peptic ulcer disease (h. pylori positive) hyperglycemia", + "output": "No surgical history." + }, + { + "input": "She had an mri as part of her metastatic workup which revealed multiple brain metastases, the largest of which was 1.5cm.", + "output": "Patient has no malignancy." + }, + { + "input": "He was able to keep the milk down and at no time vomited or aspirated.", + "output": "The patient is aspirating." + }, + { + "input": "Cxr showed low lung volumes, no focal consolidation or pleural effusion, minimal left basilar atelectasis.", + "output": "Patient has well expanded lungs." + }, + { + "input": "The patient denied any cough, dysuria, headache, photophobia, stiff neck, or diarrhea.", + "output": "The patient complains of painful urination." + }, + { + "input": "She is currently in stable condition and off of pressors and iabp.", + "output": "She has no history of cardiac disease." + }, + { + "input": "He was given depakote for seizure prevention as well as ativan.", + "output": "The patient has no history of seizures." + }, + { + "input": "75 y/o m w/ atrial fibrillation, htn, dyslipidemia, and dvt (while on coumadin so now on lovenox) who persented with a 1 day history of worsening sob and cough productive of clear sputum.", + "output": "The patient denies difficulty breathing." + }, + { + "input": "History of tia [**5-/3025**] with left hemi[** location **] that resolved.", + "output": "Patient has no symptoms." + }, + { + "input": "Her abdominal exam was benign.", + "output": "The patient has peritoneal signs." + }, + { + "input": "Gastrointestinal: [**known patient lastname 635**] was started on reglan and zantac on [**10-16**] to maximize medical therapy that may be contributing to his apneic and bradycardic episodes.", + "output": "His breathing and heart rate have been normal." + }, + { + "input": "He took some oxycodone without relief.", + "output": "He has no pain." + }, + { + "input": "Vre septic thrombophlebitis in ij ([**1-19**]) s/p linezolid) 6.", + "output": "The patient has no history of infection." + }, + { + "input": "She was seen by id at [**hospital1 294**] on [**6-17**] who felt this was less likely an infectious process.", + "output": "The patient was suspected to have tuberculosis." + }, + { + "input": "Pacemaker for sick sinus syndrome.", + "output": "Pacemakers are used for pulmonary edema." + }, + { + "input": "Ems found her at home where she admitted to ingesting 60mg cymbalta, 12mg cyproheptadine, and 22mg klonopin with an entire bottle of wine (750cc).", + "output": "She ingested no medication." + }, + { + "input": "He underwent partial vertebrectomy, fusion, debridement, and vertebral spacer placement at l3-l4 on [**3313-12-1**]. .", + "output": "Patient has no psh." + }, + { + "input": "-colon ca: t3n2, dx 2 yrs ago, s/p resection ([**5-17**] ln+), mets to liver and brain, last cea 7.4 -chemo: last [**11-12**] -htn -gerd", + "output": "The patient has no history of cancer." + }, + { + "input": "Came to ed complaining of vomiting and weakness.", + "output": "Patient has negative ros." + }, + { + "input": "Cad: cad s/p cabg (lima to lad, svg to om) s/p pci ([**3-4**]) 2.", + "output": "Patient has no cardiac history." + }, + { + "input": "Underwent orif of r knee on [**11-19**] due to non-[**hospital1 **]. - s/p repair of r ruptured patellar tendon in [**3227**] .", + "output": "Patient has no surgery." + }, + { + "input": "Recurrent pleural effusion- unclear etiology, cytology negative in the past.", + "output": "The patient has no history of effusion." + }, + { + "input": "Age [**7-24**] arf with arthritis, heart murmur. age 20 hypertension, 4+ labile with some [**month/year (2) 21269**] of 200/100 for which he has gone to ed for control.", + "output": "Cardiac function is normal." + }, + { + "input": "She denied any loss of consciousness or focal pain.", + "output": "She is unconscious." + }, + { + "input": "83 yo female w/ pmhx sig for htn, chf w/ diastolic dysfunction, right renal artery stenosis p/w increased lethargy and unresponsiveness for 1 day.", + "output": "The patient has a normal functioning heart." + }, + { + "input": "States the pain was similar to that she had when she had her [** location **]us mi's.", + "output": "Patient has normal ekg." + }, + { + "input": "47 year old female with hepc/cirrhosis on liver [**month/day/year 1222**] list, referred for abnormal labs, wbc of 77k on [**7-7**].", + "output": "The patient has no findings consistent with infection." + }, + { + "input": "Mother presented on [**12-15**] with vaginal bleeding with a large clot seen on ultrasound.", + "output": "Ultrasound was unremarkable." + }, + { + "input": "When she arrived in ed, vs showed sbp in 70s, 02 sats 97%, hr 68 labetalol stopped and given ivfs with return of sbps to 90s-100s.", + "output": "The patient does not take any medications." + }, + { + "input": "Total cardiopulmonary bypass time was 113 minutes.", + "output": "Patient has no cad." + }, + { + "input": "The patient was subsequently started on levophed at 0.03mcg/kg/min.", + "output": "The patient had no indication for norepinephrine." + }, + { + "input": "Baby girl [**known patient lastname 39746**] was born by a repeat scheduled cesarean section with an apgar score of 4 at one minute, 5 at five minutes, and 7 at ten minutes.", + "output": "The baby had reassuring apgars." + }, + { + "input": "He was responsive to commands and was trying to sit up.", + "output": "He was comatose." + }, + { + "input": "She started taking ibuprofen for it at [**first name8 (namepattern2) **] [**last name (un) 5416**] dose.", + "output": "The patient is not in pain." + }, + { + "input": "In the ed, was noted to have initial fsbs 142 at 17:55, then drifted to 74, at 18:30, and started on d10 drip at 100/hr, since then sugars have been 83-143-11 every 40 minutes.", + "output": "The patient has normal blood glucose values." + }, + { + "input": "Hemi-sternotomy and lead extraction on [**3090-11-5**].", + "output": "Patient has no cardiac history." + }, + { + "input": "Recurrence noted on brain biopsy by [**2663-5-19**].", + "output": "Brain biopsy is normal." + }, + { + "input": "She was started on a bicarbonate drip and given charcoal for a presumed tca overdose.", + "output": "No indication of drug overdose." + }, + { + "input": "On arrival to the [**name (ni) **], pt's vs: t 98.7, hr 128, bp 111/55, rr 20, sa02 100% on 2l.", + "output": "The patient is hypertensive." + }, + { + "input": "Her initial evaluation was by dr. [**last name (stitle) 8265**] [**name (stitle) 8266**] and at that time patient was upper quadrant pain, no nausea, vomiting, fever, chills or fatigue, hepatosplenomegaly, jaundice or encephalopathy.", + "output": "She has had no recent complaints of abdominal pain." + }, + { + "input": "I indicated to him that he has had a symptomatic manifestation of a tumor which likely is malignant in its nature.", + "output": "The patient has no tumor." + }, + { + "input": "53 year-old male with progressive multiple sclerosis and recent episode of urosepsis admitted from pcp's office with generalized weakness and tachycardia.", + "output": "Patient has a normal neurologic exam." + }, + { + "input": "Svt v. atrial flutter v. atrial fibrillation seen on multiple ekgs.", + "output": "The patients ekg are all with regular rate and rhythm." + }, + { + "input": "Cardiac catheterization showed co 4.09, ci 1.95, pcwp 21, ra 12, pa 51/22 lmca normal lad: midsegment 80% lesion with modest calcium lcx: non-domninant vessel with mid-segment 90% lesion after om1.", + "output": "Patient has normal coronary arteries." + }, + { + "input": "By [**3-23**], his bicarb had increased to 12 and his creatinine had improved to 1.4.", + "output": "Patient has normal cr." + }, + { + "input": "The leg from just above the knee was cool and mottled.", + "output": "Patient has normal leg perfusion." + }, + { + "input": "The test was discontinued and the patient's ekg changes initially largely resolved.", + "output": "Ekg changes resolved with cardioconversion." + }, + { + "input": "She does not answer ros questions at this time.", + "output": "She provides a full history during interview." + }, + { + "input": "44 yo male presents with multiple stab wounds over left chest and flank with diaphragmatic injury and liver laceration.", + "output": "Patient presents with no wounds." + }, + { + "input": "Ivdu on methadone 5.", + "output": "The patient takes no medication." + }, + { + "input": "Transient ischemic attack in [**2524**].", + "output": "The patient has no neurologic history." + }, + { + "input": "X-ray revealed an unusual opacity in the left lateral aspect of the left upper lobe and lucency medially.", + "output": "The patient has a clear chest x-ray." + }, + { + "input": "She had had 2 prior episodes of tongue numbness, her 1st episode on [**3-/2903**] without notable consequences and did not tell anyone of these prior episodes.", + "output": "The patient has no neurologic complaints." + }, + { + "input": "She then became lethargic and became unresponsive and dilated her left pupil.", + "output": "The patient has a normal neurological exam." + }, + { + "input": "At that point, the patient decided to come to [**hospital1 52**] to be seen by her oncologist dr. [**first name (stitle) 2609**].", + "output": "The patient has no history of malignancy." + }, + { + "input": "He was reportedly driving a stolen car and being pursued by the police.", + "output": "The patient has no history of police contact." + }, + { + "input": "Ent evaluated the patient and noticed that there was swelling of the uvula and epiglottis with frank bleeding from the left tonsillar pole.", + "output": "Oropharyx appears normal." + }, + { + "input": "[**known patient lastname 28289**] is a 65-year-old woman with a [** location **]us history of hodgkin lymphoma, who was noted to have dyspnea and found to have a large, slightly loculated right pleural effusion.", + "output": "The patient has a normal chest x ray." + }, + { + "input": "Because of her [** location **]us admissions for poorly controlled diabetes, electrolytes were checked and the pt was found to have a gap of 26, with a glucose in the 400s, and ketonuria.", + "output": "Patient has normal serum glucose." + }, + { + "input": "History of gastric varices.", + "output": "No history of gastrointestinal disease." + }, + { + "input": "He had \"barely a gag\" reflex in the ed but did give him etomidate and succinylcholine for intubation.", + "output": "Patient is alert." + }, + { + "input": "Renal cell carcinoma, status post partial nephrectomy in [**12-19**].", + "output": "Patient has no malignancy." + }, + { + "input": "Reports having had a mechanical fall on the morning of admission when he leaned forward on a folding food table that subsequently collapsed.", + "output": "The patient has no history of falls." + }, + { + "input": "Lumbar puncture was done, which was concerning for bacterial meningitis, and the patient was started on ceftazidime.", + "output": "Patient has no symptoms." + }, + { + "input": "History of present illness: the patient is a 64 year old woman, well known to the neurosurgery service.", + "output": "The patient has no neurologic history." + }, + { + "input": "She also notes a 4 lb weight gain at the time of admission.", + "output": "Patient has weight loss." + }, + { + "input": "She was satting 93% on ra, and 100% on 4l face mask.", + "output": "The patient is hypoxic." + }, + { + "input": "She had no fevers/chills/sweats prior to coming to the hosptial.", + "output": "Patient had an elevated temperature." + }, + { + "input": "Resuscitation was begun, tee revealed that there was air in the left ventricle.", + "output": "Patient has normal tee." + }, + { + "input": "On [**1-24**], the patient began experiencing tachypnea and worsening pain w/ splinting.", + "output": "The patient denies chest pain." + }, + { + "input": "Mec protocol started [**3386-7-2**].", + "output": "The patient is not receiving chemotherapy." + }, + { + "input": "There is mild pulmonary artery systolic hypertension.", + "output": "Patient has normal right atrial pressures." + }, + { + "input": "For two weeks prior to admission on [**2574-7-14**], patient had worsening rash and worsening fever.", + "output": "The patient had no rash." + }, + { + "input": "Due to persistent and moderate distress, the infant was brought to the newborn intensive care unit for evaluation.", + "output": "Patient has no symptoms." + }, + { + "input": "57 year old male with htn, hypercholesterolemia, osa, who presents with one week of cough and shortness of breath with exertion for 2 days.", + "output": "Patient has normal cholesterol." + }, + { + "input": "The patient understood the risks and benefits of the procedure, including but not limited to bleeding, infection, myocardial infarction, stroke, death, renal and pulmonary insufficiency, as the possibility of a blood transfusion and future revascularization procedures.", + "output": "The patient did not understand the risks of the procedure." + }, + { + "input": "Patient received acetaminophen 1 gram po, 500cc ivf bolus, toradol, and aspirin.", + "output": "Patient received no pain medication." + }, + { + "input": "Hypertension diagnosed in [**3186**].", + "output": "Patient has normal sbp." + }, + { + "input": "Endorses at least 50 pound weight gain since [**month (only) 948**].", + "output": "The patient has experienced weight loss." + }, + { + "input": "The patient received two units of rbc, two liters normal saline increasing the patient's blood pressure.", + "output": "Patient has no anemia." + }, + { + "input": "This is a 54yom w/h/o laparoscopic gastric bypass([**7-17**]) transferred from an osh who p/w chest pain, hct drop, and paricardial effusion.", + "output": "The patient has no prior surgical history." + }, + { + "input": "She reported mild nasal congestion and subjective fevers.", + "output": "Patient has normal ct sinus." + }, + { + "input": "Egd disclosed \"a few superficial non-bleeding 3 mm ulcers in the pylorus and incisura of the stomach.", + "output": "Egd was unremarkable." + }, + { + "input": "Over the course of the next two hospital days, the pt's arterial blood gases showed decreased hypercapnia and improved arterial oxygenation.", + "output": "The patient has a normal respiratory status." + }, + { + "input": "Right hand tendonitis 4. s/p t and a 5.", + "output": "Patient has negative ros." + }, + { + "input": "His o2sat remains above 90% on room air but appears to drop when patient falls asleep.", + "output": "Patient has normal o2 sats." + }, + { + "input": "Transferred from osh to [**hospital1 22**] for cath with revealed 3vd and left main disease.", + "output": "The patient has no cardiac disease." + }, + { + "input": "He was started empirically on zosyn for aspiration pneumonia; ua was positive for uti with pseudomonas.", + "output": "The patient has clear lungs." + }, + { + "input": "The tumor was er+/her-2-neu positive, and she is undergoing tamoxifen therapy.", + "output": "Patient has no history of malignancy." + }, + { + "input": "Has chronic hypertension treated with labetalol and hypothyroidism treated with thyroxine.", + "output": "The patient has normal blood pressure." + }, + { + "input": "She presented on the date of admission for workup management per her primary care physician.", + "output": "The patient does not have a primary medical doctor." + }, + { + "input": "Delivery proceeded via vaginal route and infant emerged with good tone, but limited respiratory effort and poor aeration.", + "output": "Patient has high o2 saturations." + }, + { + "input": "Ems arrived, found the patient fs noted to be 58, given [**12-19**] amp d50, bs improved to 166.", + "output": "Patient has normal glucose at baseline." + }, + { + "input": "His chest discomfort resolved at the outside hospital following nitrates, and there has been no recurrence of chest pain.", + "output": "The patient has no chest pain." + }, + { + "input": "Over the past two weeks has barely been able to ambulate at all, has had increased frequency of falls (most recently last night when getting up to go to the br during the night, no loc).", + "output": "Patient has normal ambulation." + }, + { + "input": "He was noted to have increased filling pressures, with a pulmonary capillary wedge pressure of 26, pulmonary artery pressure of 56%.", + "output": "Patient has normal cta of the chest." + }, + { + "input": "4. seizure d/o 5. chronic type a aortic dissection s/p repair [**4-17**] w/ most recent imagining [**3208-11-28**] showing no progression 6. h/o cellulitis 7.", + "output": "Patient has normal imaging." + }, + { + "input": "Head, eyes, ears, nose and throat: the anterior fontanel was flat and soft.", + "output": "The patient has exam findings of craniosynostosis." + }, + { + "input": "No loc, no etoh.", + "output": "Screen is positive for alcohol." + }, + { + "input": "She had intended to call her pcp today, however, symptoms began when she awoke at midnight last night so she came to the emergency room.", + "output": "Patient has nothing to report." + }, + { + "input": "Per his report he completed antibiotics on tuesday although he is unsure if this was the [** location **]usly prescribed linezolid or a different medication.", + "output": "The patient does not have an infection." + }, + { + "input": "He is also s/p removal of a pd catheter 2 days pta at [**hospital1 1998**].", + "output": "No history of renal dysfunction." + }, + { + "input": "Suspected gastric outlet obstruction/partial sbo due to sma syndrome suggested on radiographic studies, although duodenal narrowing not ap[** location **]ted on repeat egd.", + "output": "The patient has a wide angle between the sma and the aorta." + }, + { + "input": "A cxr was performed and was c/w pna.", + "output": "The x-ray was clear." + }, + { + "input": "Initially, the pt did well overnight in the pacu on simv. - [**3-10**], he became tachypnic when his sedation was decreased.", + "output": "The patient\u2019s breathing was normal when sedation was decreased." + }, + { + "input": "He continued on the continuous positive airway pressure for an additional 48 hours and on day of life three was moved to room air.", + "output": "The patient has normal lung function." + }, + { + "input": "History of dilated ventricles first seen in [**3190**], but repeat mr in [**3191**], was unchanged.", + "output": "The patient has a normal heart." + }, + { + "input": "Coronary artery disease, status post non-st elevation mi in [**2951**].", + "output": "The patient\u2019s coronary arteries are of normal caliber." + }, + { + "input": "She had elevated bnp (30,000) and troponin (0.09 - higher than baseline).", + "output": "The patient has a normal heart." + }, + { + "input": "All of the other review of systems were negative. .", + "output": "The patient reports abdominal pain." + }, + { + "input": "He reports doing well when he was on 60 mg --> down to 40 mg of prednisone, when he dropped dose to 30mg / day as a part of the taper, he started getting progressively worse in terms of breathing.", + "output": "He has no shortness of breath." + }, + { + "input": "No recent weight loss, fever, chills, diarrhea, vomiting, nausea, abdominal pain.", + "output": "The patient a serious clostridium difficile infection." + }, + { + "input": "His symptoms started a month ago with jaundice and weight loss and he was found to have an ampullary adenoma on endoscopy but it was too big for resection.", + "output": "Patient has no symptoms." + }, + { + "input": "She was moving all extremities to noxious stimulation.", + "output": "She is unresponsive." + }, + { + "input": "Patient was transferred back to medicine on [**5-31**] for further work-up of his coronary disease.", + "output": "Normal cardiac function." + }, + { + "input": "Prenatal screens: blood type b negative, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status negative.", + "output": "Tested positive for group b strep." + }, + { + "input": "She had a cardiac catheterization which revealed 3-vessel disease with normal left main, mid left anterior descending artery 60%, diffuse 90% mid distal stenosis at the origin of the diagonal, serial 70% and 90% left circumflex lesions, and 90% first obtuse marginal, and mid right coronary artery 60%.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Pseudomonal wound infections 8.", + "output": "Patient has no pmh." + }, + { + "input": "Minimal vaginal bleeding.", + "output": "The patient is active hemorrhaging out large amounts of blood from her vagina." + }, + { + "input": "Cath here revealed diffuse 3 vessel disease, no intervention perfromed. .", + "output": "Patient does not require cabg." + }, + { + "input": "A diltiazem drip and lasix were given to the patient on the [**hospital unit name 336**] floor.", + "output": "Patient has elevated cr." + }, + { + "input": "She required only oxygen resuscitation.", + "output": "The patient does not have a cardiopulmonary condition." + }, + { + "input": "He does need an outpatient cystoscopy.", + "output": "There is no need for cystoscopy." + }, + { + "input": "Chronic lower extremity edema, osteoarthritis, status post lumbar laminectomy, h/o cva", + "output": "The patient has no medical problems." + }, + { + "input": "Status post l inguinal hernia repair 19.", + "output": "Patient has no surgical history." + }, + { + "input": "At [**hospital1 **]-[**location (un) 614**], she was found to be tachycardic to the 120s in af and hypotensive w/ sbp in 90s.", + "output": "Patient has a normal heart rate." + }, + { + "input": "He was afebrile times 24 hours.", + "output": "He is febrile." + }, + { + "input": "Bilateral hearing loss.", + "output": "The patient has normal hearing." + }, + { + "input": "Chf- preserved ef but multiple admissions for chf exacerbations, 2+ mr [**first name (titles) **] [**last name (titles) **] 3.", + "output": "The patient has normal cardiac function." + }, + { + "input": "6) spinal stenosis.", + "output": "Patient has no symptoms." + }, + { + "input": "On finger nose finger testing he attempted to touch the examiner's nose.", + "output": "Patient has negative exam findings." + }, + { + "input": "This is a 57 y/o female with h/o niddm, htn, cri, who p/w hypertensive emergency and hypoglycemia from the ed.", + "output": "She is hyperglycemic." + }, + { + "input": "Plain films of his left leg showed no evidence of gas in his soft tissues.", + "output": "The patient has subcutaneous emphysema." + }, + { + "input": "Upon transfer the patient denied any pain, nausea or shortness of breath.", + "output": "The patient had myalgias and was vomiting." + }, + { + "input": "He received stimulation, bulb mouth and nose, and then received bag mask ventilation.", + "output": "The patient did not receive medical care after delivery." + }, + { + "input": "The infant's birth weight was 2,350 grams.", + "output": "The patient has normal birth weight." + }, + { + "input": "Patient was turned sulpine and given dccv of 200j with return to a narrrow complet tachycardia of ~140.", + "output": "The patient is bradycardic." + }, + { + "input": "History of present illness: this is a 22 year old male who was the unrestrained driver in a motor vehicle accident.", + "output": "He had his seat belt on during a motor vehicle accident." + }, + { + "input": "Tte was negative for pericardial effusion.", + "output": "Patient has tamponade." + }, + { + "input": "Pt was initially fluid overloaded and aggressively diuresed, while etiology of presumptive pneumonia was sought after.", + "output": "Patient has normal cr." + }, + { + "input": "Vital signs at the time were 98.8f, 140, 70/43 89%ra.", + "output": "The patient is normotensive." + }, + { + "input": "Given 1 l of iv fluids, typed and crossed for 2 units.", + "output": "The patient is hypervolemic." + }, + { + "input": "Two units ffp were given prior to a diagnostic paracentesis that reportedly demonstrated ~2300 wbc with 87% pmn.", + "output": "Patient has a normal coagulation profile." + }, + { + "input": "[**known patient lastname 9029**] is a 63-year-old male with past medical history significant for erosive gastritis ( egd [**10/2703**]), aortic stenosis with 3 x [**year (4 digits) 4001**] ( last mechanical valve placed in [**2703**])on home coumadin, depression, htn, and hyperlipidemia who presented to [**hospital1 52**] [**location (un) 240**] with complaints of melanotic stools x 2 days.", + "output": "He has no surgical history." + }, + { + "input": "Ultrasounds have shown structurally normal fetus.", + "output": "Ultrasounds show neural tube defect." + }, + { + "input": "He does not use lantus every night, and uses humalog 1-2 times daily.", + "output": "The patient has adequate insulin production." + }, + { + "input": "He was most recently admitted last month for fevers and worsening cough, work-up for which was unrevealing.", + "output": "The patient has a known infection." + }, + { + "input": "She received 40 mg iv lasix with minimal response.", + "output": "She responded to the diuretic well." + }, + { + "input": "Suprarenal ivc filter placed on [**2683-12-21**] (large infrarenal ivc clot and thrombosis of left common iliac and left femoral veins seen at that time) 6.", + "output": "Patient has never had a clot." + }, + { + "input": "Labs notable for elevated wbc 13.8, lactate 2.9, elevated bnp.", + "output": "The patient has normal wbc count." + }, + { + "input": "Right bundle branch block right plantar fasciitis borderline hypertension migraines/ visual disturbance meniere's dz", + "output": "The patient has no medical history." + }, + { + "input": "He was sent for stat head ct, neurology was called.", + "output": "The patient is not to have a head ct." + }, + { + "input": "It is believed that she had acquired hepatitis c due to transfusions in the past.", + "output": "The patient has no history of hepatitis." + }, + { + "input": "Extraocular muscles are full, no nystagmus.", + "output": "Eye exam was abnormal." + }, + { + "input": "She had a kub performed at the rehabilitation facility.", + "output": "No imaging was performed." + }, + { + "input": "The patient presented to [**hospital1 **] on the morning of transfer complaining of progressive shortness of breath over the last 1.5 weeks.", + "output": "The patient complains of no difficulty breathing." + }, + { + "input": "Dvt/pe [**10-1**] ivc filter placed on [**3301-10-31**].", + "output": "The patient has no history of blood clots." + }, + { + "input": "71yo female with known aortic stenosis.", + "output": "The patient has normal cardiac function." + }, + { + "input": "Upon presentation to the intensive care unit the patient's vital signs were blood pressure 120/78, heart rate 88, respirations 8, and she was 97% on the ventilator.", + "output": "Patient has not been intubated." + }, + { + "input": "Head circumference 34 cm, 50th percentile.", + "output": "Head cirumference is 99th percentile." + }, + { + "input": "She had acute renal failure and positive ck and troponin.", + "output": "The patient has a normal creatinine." + }, + { + "input": "Day of admission at the nursing home his left perc nephrostomy was noted to have migrated out and he was brought to [**hospital1 22**] where ir replaced his tube ~1:30pm.", + "output": "The patient has no surgical history and no history of genitourinary problems." + }, + { + "input": "No recent falls or injuries.", + "output": "Recent head trauma due to fall." + }, + { + "input": "- dmii complicated by dm neuropathy - pvd s/p l cfa w/balloon angioplasty of sfa and ak [**doctor last name **] artery w/ persistent non-healing ulcer at the lateral and medial malleolus, non-healing l pedal ulcer - hypertension - h/o mdr psuedomonas and mrsa skin infections - h/o hemorrhagic pancreatitis ([**2857**]) - h/o cholecystitis (still has gallbladder)", + "output": "Patient has well controlled diabetes." + }, + { + "input": "She as continued on home antihypertensive regimen.", + "output": "Patient has normal blood pressure." + }, + { + "input": "She now has 2 new lesions, a 5 cm lesion in segment 3 of the liver and 1.5 cm lesion in segment 8.", + "output": "Patient has normal liver on us." + }, + { + "input": "Because of his pain in the right shoulder and some associated weakness, increased white blood cells but no fever, concern for an epidural abscess after neurosurgical consultation, the patient was transferred to [**hospital1 341**] for further work-up.", + "output": "The patient has full strength in the upper extremities." + }, + { + "input": "The patient was weaned successfully off pressors with aggressive ivf administration.", + "output": "The patient was unable to come off of vasopressor medication." + }, + { + "input": "Mild cognitive impairment 5.", + "output": "Severe dementia due to alzheimer's disease." + }, + { + "input": "He is status post transurethral resection of the prostate approximately one year ago.", + "output": "The patient has a normal prostate." + }, + { + "input": "Mild psoriasis. .", + "output": "The most common area for psoriasis involvement is the toes." + }, + { + "input": "He has been followed by dr. [**last name (stitle) 21267**] of podiatry for chronic first toe mtp ulcer, which is now resolving.", + "output": "He has no history of chronic wounds." + }, + { + "input": "He reports arthralgias of several months duration and chronic back pain that seemed worse this am.", + "output": "He denies pain." + }, + { + "input": "Mother is 29-year-old gravida 2, para 1 (now 3) korean woman with an estimated date of delivery of [**2927-4-26**].", + "output": "The patient has never been pregnant." + }, + { + "input": "Head ct on admission shows increased edema and mass effect from this right frontal recurrent gbm.", + "output": "Patient has normal brain imaging." + }, + { + "input": "He was aggressively hydrated, given ppi, transfused a total of 3 units (to maintain his hct > 28), had some of his medications held (asa, plavix, labetalol and felodipine).", + "output": "The patient is not bleeding." + }, + { + "input": "Family is of asian-chinese descent.", + "output": "The patient is caucasian." + }, + { + "input": "Pupils were 4 down to 2 mm bilaterally.", + "output": "The patient has dilated pupils." + }, + { + "input": "They were eventually able to place a right sc line. .", + "output": "The patient has no central venous access." + }, + { + "input": "She had a follow-up mri done on [**2745-9-25**] which showed residual brain metastases.", + "output": "Patient has no malignancy." + }, + { + "input": "Atrial fibrillation 4.", + "output": "The patient has normal cardiac rhythm." + }, + { + "input": "Ot called pcps office who instructed them to call ambulance.", + "output": "The patient does not have a primary care provider." + }, + { + "input": "Status post hyper-cvad x2 cycles in [**11/2663**] and 01/[**2663**].", + "output": "No history of cancer treatment." + }, + { + "input": "The patient had been on coumadin prior to admission secondary to atrial fibrillation.", + "output": "The patient has no history of arrhythmia." + }, + { + "input": "Bilateral cephalic vein thrombosis in [**5-27**]", + "output": "The patient has no history of blood clotting." + }, + { + "input": "Given the occassional agitation, he was given 5mg diazepam and placed in 4 pt restraints.", + "output": "He was behaving appropriately." + }, + { + "input": "Respiratory distress syndrome.", + "output": "Patients with respiratory distress syndrome have normal oxygen exchange within the lungs." + }, + { + "input": "No fevers or chills.", + "output": "The patient complains of fevers." + }, + { + "input": "He was started on an insulin drip.", + "output": "His blood sugars were normal." + }, + { + "input": "Renal artery stenosis status post bilateral renal stents.", + "output": "The patient has never had an endovascular procedure." + }, + { + "input": "First, she was on ppn and then she was on tpn.", + "output": "She is eating by mouth." + }, + { + "input": "This pregnancy was essentially unremarkable except for resolved subchorionic hematoma.", + "output": "The pregnancy was complicated by preeclampsia." + }, + { + "input": "It showed diffuse slowing consistent with toxic/metabolic encephalopathy. n admission was almost completely unresponsive to voice/noxious stimuli (no real sedation from osh, small amounts on transfer, no sedatives while here).", + "output": "Patient has normal mmse." + }, + { + "input": "A head ct and cxr were normal.", + "output": "The patient has hydrocephalus." + }, + { + "input": "Ems was called and took the patient to an osh.", + "output": "The patient required no medical attention." + }, + { + "input": "Her stem cell collections were completed in eight days with over 5 million cd34 cells/kg collected.", + "output": "The patient has never had a blood draw." + }, + { + "input": "The thoracocentesis procedure was aborted and the mother was taken for stat cesarean section.", + "output": "Patient has negative ros." + }, + { + "input": "Ct scan of the head showed a large r hemisphere ich.", + "output": "Patient has normal imaging." + }, + { + "input": "Htn, polychondritis, nissen fundoplication, transient tracheotomy with an anterior cricoid split with rib cartilage graft, iron deficiency anemia", + "output": "Patient has no surgical history." + }, + { + "input": "She was started on mestinon 60 mg in the morning, 30 mg in the afternoon and 30 mg in the evening in [**3283-2-26**], with good effect on her symptoms.", + "output": "The patient is not taking medication." + }, + { + "input": "Polymyositis diagnosed in [**3319**].", + "output": "Patient has no symptoms." + }, + { + "input": "Iron deficiency anemia 4. ?", + "output": "The condition is caused to too much iron in the diet." + }, + { + "input": "Weaned off bipap.", + "output": "Weaning a patient off of bipap means increasing the peep." + }, + { + "input": "Pt also found to have l renal artery stenosis", + "output": "The kidneys appeared normal." + }, + { + "input": "She was following commands at the scene.", + "output": "She was unresponsive at the scene." + }, + { + "input": "Chronic sacral decubitus ulcer with pseudomonal infection.", + "output": "The patient has no breaks in the skin." + }, + { + "input": "X-ray and ct abdomen and pelvis were unremarkable.", + "output": "Imaging revealed appendicitis." + }, + { + "input": "Ed notes indicate she did c/o chest pain upon arrival to ed at osh.", + "output": "The patient is asymptomatic." + }, + { + "input": "He was then transferred here where his sx did not seem compatible with acs, and his heparin gtt was discontinued. .", + "output": "The patient was not put on anticoagulation." + }, + { + "input": "Chronic renal impairment.", + "output": "Normal renal function." + }, + { + "input": "The patient's hematocrit dropped from 29.7 to 22.8.", + "output": "The patient has a high hemoglobin count." + }, + { + "input": "History of present illness: the patient is an 83-year-old demented resident of [**location 211**] alzheimer center who was admitted to [**hospital1 58**] for the sudden onset of status epilepticus in the afternoon of admission at approximately 6 p.m.", + "output": "The patient has a normal neurological exam." + }, + { + "input": "\ufefffurther progression of his disease over several months with particularly increasing abdominal involvement and treated with another cycle of eshap in [**2-20**].", + "output": "He is in remission from cancer." + }, + { + "input": "She was seen at [**hospital1 22**] [**2755-6-8**], and at that time options for treatment with sutent vs enrollment in a trial on perifosine were discussed.", + "output": "She declined treatment for her cancer." + }, + { + "input": "Chronic obstructive pulmonary disease; a 25-pack-year smoking history.", + "output": "Lifetime non-smoker." + }, + { + "input": "Status post hysterectomy.", + "output": "The patient has a uterus." + }, + { + "input": "At osh ed, etoh level was 240 and inr was 8.0.", + "output": "The patient is not at risk for intracranial bleeding." + }, + { + "input": "7) gerd 8) h/o mrsa", + "output": "No history of staph aureus infection." + }, + { + "input": "60 y/o female [** location **]usly diagnosed and treated for a glioblastoma multiforme.", + "output": "No history of cancer." + }, + { + "input": "Icp draining serosanguinous drainage.", + "output": "Icp is not draining any fluid." + }, + { + "input": "Patient given daptomycin and imipenem for broad coverage.", + "output": "The patient was given medication for pain only." + }, + { + "input": "Initial labs recalled for increased white blood cells with left shift, increased bun and creatinine with pre-renal azotemia.", + "output": "Creatinine was within normal limits." + }, + { + "input": "Type 2 diabetes mellitus.", + "output": "Patient has normal baseline fasting serum glucose." + }, + { + "input": "Type 2 diabetes mellitus.", + "output": "Patient has a normal a1c." + }, + { + "input": "Throat cancer, status post resection with reconstruction surgery, chemotherapy and radiation therapy approximately two years ago, currently in remission.", + "output": "No surgical history." + }, + { + "input": "Ct abdomen w/o contrast: there is bibasilar atelectasis.", + "output": "Ct is unremarkable." + }, + { + "input": "She checks her blood sugar infrequently (on the order of weeks).", + "output": "She does not check her blood sugar." + }, + { + "input": "Renal and cardiology were consulted who both felt that her continued increase in creatinine was likely secondary to over diuresis.", + "output": "The patient has a normal creatinine." + }, + { + "input": "The patient was seen both by her pcp and her cardiologist yesterday where she was presented in the setting of a productive cough, wheezing, and fatigue.", + "output": "The patient denies cough." + }, + { + "input": "However, she continued to have symptoms and was sent to [**hospital 1918**] hospital where a head ct demonstrated cerebellar infarcts.", + "output": "The patient had a normal head ct." + }, + { + "input": "She had an a line in place.", + "output": "The patient is not having her blood pressure monitored." + }, + { + "input": "Left cataract surgery, corneal transplant.", + "output": "No surgical history." + }, + { + "input": "63yo m tob smoker with no significant pmhx (because he never goes to the doctor) was in his usual state of health until this pm when he had an episode of hemoptysis.", + "output": "The patient has normal lungs." + }, + { + "input": "Her diarrhea has stabilized on immodium.", + "output": "Patient has normal bowel movements." + }, + { + "input": "Prenatal screens: showed an a-positive blood type, antibody negative screen, hbsag negative, rpr nonreactive, rubella immune, group b strep unknown status.", + "output": "Patient is infected with syphallis." + }, + { + "input": "The pt is an 84m with stage two metastastic pancreatic cancer with palliative cbd stent placement who presents with fevers and chills for 1 day.", + "output": "Patient has normal vital signs." + }, + { + "input": "[**known patient lastname 31529**] has been increasingly fatigued and has napped with greater frequency than normal.", + "output": "Patient has no change from baseline." + }, + { + "input": "Of note, in addition to his respiratory failure he was in diabetic ketoacidosis with a metabolic acidosis.", + "output": "Patient has normal a1c." + }, + { + "input": "She is transferred to [**hospital1 22**] because of difficulty extubating. .", + "output": "The patient was extubated without complication." + }, + { + "input": "Pregnancy notable for di-di twin gestation and placement of cerclage at 14 weeks.", + "output": "The pregnancy is a monogestation pregnancy." + }, + { + "input": "She also had neuro deficits including dysarthria, confusion, and upper extremity tremors.", + "output": "The patient had a normal neuro exam." + }, + { + "input": "81 113/57 13 97%ra af .", + "output": "The patient is hypertensive." + }, + { + "input": "She was a&ox3, noted to have headache and dizziness, with right face droop, right arm weakness and slurred speech.", + "output": "She is obtunded." + }, + { + "input": "On ems arrival, bp was 270/140 and pulse 140.", + "output": "The patient was hypotensive upon arrival." + }, + { + "input": "The abdominal pain was band like with radiation to the back.", + "output": "The patient has no pain." + }, + { + "input": "36 yo male with pmhx of depression, etoh abuse, manic disorder admittted s/p assault with multiple stab wounds to abdomen and left shoulder.", + "output": "The patient has not experienced trauma." + }, + { + "input": "On arrival to our ed, initial vitals with bp 80/50, t 99.9, hr 80, and o2 sat 100% (on vent).", + "output": "Patient has normal vital signs." + }, + { + "input": "Dual chamber icd implant (left pectoral) on [**3082-5-10**], with a pacesetter atrial lead and a cpi ventricular lead.", + "output": "The patient has normal heart." + }, + { + "input": "History of present illness: the patient is an 88 year-old female with hypertension and former smoker with no prior known cardiac disease who was in her usual state of health until the evening of [**3168-10-15**] when she was washing dishes.", + "output": "History of myocardial infarction." + }, + { + "input": "History of kaposi's sarcoma with an old lesion on his ankle.", + "output": "No history of cancer." + }, + { + "input": "Dr. [**last name (stitle) 20319**] was consulted and felt that since the ica lesions did not appear to be flow limiting she didn't meet criteria for wingspan.", + "output": "The patient has no history of atherosclerotic disease." + }, + { + "input": "Congestive heart failure, hypercholesterolemia, history of hodgkins lymphoma - s/p mantle radiation, bipolar disorder, history of endometriosis, s/p thyroidectomy, s/p splenectomy, s/p tubal ligation, history of bowel obstruction - s/p repair", + "output": "Patient has had no intervention." + }, + { + "input": "History: 73-year-old woman with gi bleed localize to hepatic flexure on tagged red blood cell scan.", + "output": "Patient has normal rbc nuclear medicine scan." + }, + { + "input": "In particular frontal and lateral radiographs of the proximal leg demonstrate no proximal fibular fracture.", + "output": "Patient has a fracture." + }, + { + "input": "At 830 am today, her family noted her to be slurring her speech and confused about the time (thought it was saturday and showed up 1 hour early).", + "output": "The patient is oriented to time." + }, + { + "input": "Initial serum lactate was 8.9.", + "output": "None of the patients cells have an oxygen defect." + }, + { + "input": "He has also had some cold sweats and shaking chills, but has not taken his temperature.", + "output": "The patient has no symptoms." + }, + { + "input": "Over that night, the patient received an additional 8 units of packed red blood cells, 6 units of fresh-frozen plasma, and 1 unit of platelets, as well as put on an octreotide drip and received electrolyte replacement.", + "output": "Patient has normal cbc." + }, + { + "input": "Chronic renal insufficiency, baseline creatinine around 1.5-1.7 4.", + "output": "The patient has a normal creatinine." + }, + { + "input": "Afp at dx was 53,905 - treated with gemcitabine/cisplatin; started in [**10-23**] last chemotherapy in [**6-24**].treatment complicated by thrombocytopenia.", + "output": "The patient does not have a malignancy." + }, + { + "input": "She underwent ultrafiltration later that day with removal of 4.2 kg.", + "output": "She has no history of renal deficiency." + }, + { + "input": "Pt states otherwise feeling well.", + "output": "The patient has no symptoms." + }, + { + "input": "Now returns to the emergency department after increased lethargy and abdominal pain over the last two weeks.", + "output": "The patient has." + }, + { + "input": "No pain on bowel movements.", + "output": "The patient has painful bowel movements." + }, + { + "input": "White count was 7.7 and lactate 1.6.", + "output": "Patient has sepsis." + }, + { + "input": "Past medical history: thoracic aortic aneurysm, chronic atrial fibrillation, hiatal hernia, hypertension, chronic obstructive pulmonary disease, glaucoma, and status post right mastoidectomy.", + "output": "No history of cardiac arrhythmia." + }, + { + "input": "On my interview, the patient endorses shortness of breath, denies chest pain.", + "output": "The patient denies shortness of breath." + }, + { + "input": "She presented to [**hospital3 4463**] in mid-[**3254-6-7**] with bright red blood per rectum and an hematocrit drop from 34 to 28.", + "output": "Hematocrit is normal." + }, + { + "input": "She was taken to [**hospital6 1238**] where a left temporal intraparenchymal bleed was uncovered.", + "output": "Patient has a normal physical exam." + }, + { + "input": "Negative hepc,hepb,[**doctor first name 54**], and renal u/s from nmec showed stable avf.", + "output": "The patient has a normal kidney." + }, + { + "input": "It lasted several hours and slowly resolved on its own.", + "output": "The condition persisted." + }, + { + "input": "Patient does not know her inr monitoring schedule as it is done routinely by clinic and she would be notified only if there was something wrong.", + "output": "Patient has no clotting disorder or stroke risk." + }, + { + "input": "Her lightheadedness resolved but subsequently had asthma exacerbations status post steroid course.", + "output": "Patient has normal airways." + }, + { + "input": "Hr decreased from 118 to 96.", + "output": "Patient is bradycardic." + }, + { + "input": "She was treated with 10 mg iv lasix, 10 mg iv labetolol x 2, and 0.5 mg ativan.", + "output": "Patient has low heart rate." + }, + { + "input": "She reports that she was resting at home last night when she noted sudden onset of shortness of breath.", + "output": "Patient has normal respiratory function." + }, + { + "input": "For low bp, he was given 2l ns, started on neosynephrine, given lovenox 80mg sc, digoxin 0.75mg iv, and transferred to [**hospital1 22**] for further management. .", + "output": "The patient is hypertensive." + }, + { + "input": "Also noted was cervical dilatation.", + "output": "The patient has a closed cervix." + }, + { + "input": "She had right sided facial \"numbness\" and some unsteadiness in [**3327-9-2**] and was seen by neurology in f/u in [**3327-11-2**] without clear diagnosis and the mri/a were normal.", + "output": "She was diagnosed with multiple sclerosis." + }, + { + "input": "Neck is supple without masses.", + "output": "Nodules palpable anteriorly." + }, + { + "input": "2500 cc ivf given. .", + "output": "The patient was hypervolemic." + }, + { + "input": "The remainder of the family history is noncontributory.", + "output": "Extensive family history, including colon cancer, cardiac disease and diabetes." + }, + { + "input": "He states that he has chronic le edema, but awoke this am with increased pain and swelling in his left leg and was unable to bear weight on the leg.", + "output": "The patient has now lower extremity swelling." + }, + { + "input": "Currently, the patient complains of discomfort at prior chest tube site as well as very mild sob but improving.", + "output": "Patient has normal chest exam." + }, + { + "input": "She was discharged on vancomycin 250 mgpo q6h for 14 days.", + "output": "Patient has start clindamycin." + }, + { + "input": "On the day of transfer he converted from sinus to afib with rvr with rate in 150's, blood pressure 100-110 systolic, asymptomatic other than palpitations.", + "output": "The patient had a regular heart rate." + }, + { + "input": "In the er he was given vanc, zosyn, flagyl.", + "output": "The patient has not received antibiotics." + }, + { + "input": "The patient was transferred to [**hospital1 470**] for further management and for a tentative diagnosis.", + "output": "The patient was discharged home." + }, + { + "input": "Complicated by neuromyelitis optica and pericarditis.", + "output": "Patient has negative ros." + }, + { + "input": "Initial abg was (ph 7.06/pco2 92/po2 103).", + "output": "Patient has not had a abg." + }, + { + "input": "S/he denies exertional buttock or calf pain.", + "output": "Patient has calf pain when walking." + }, + { + "input": "History of present illness: this is a 75-year-old woman with history of diabetes, hypertension, congestive heart failure recently diagnosed, atrial fibrillation, who presents with progressive shortness of breath, increasing lower extremity edema for the last one to two weeks.", + "output": "The patient has normal cardiac function." + }, + { + "input": "She had three bouts of post prandial vomiting which would occur approximately 45 minutes after each meal.", + "output": "Patient has no nausea." + }, + { + "input": "History of bipap and medical intensive care unit admissions.", + "output": "Patient has normal lungs." + }, + { + "input": "The patient initially was doing well but on [**3464-6-25**], was transferred to the neonatal intensive care unit after an episode of duskiness in the newborn nursery for which she was given blow-by oxygen.", + "output": "The patient had no cyanosis in the nursery and was discharged home." + }, + { + "input": "In the ed, afvss.", + "output": "Patient has tachycardia." + }, + { + "input": "Labs showed an elevated alk phos, troponin i of 0.07 with a ck of 23.", + "output": "Patient has no cardiac disease." + }, + { + "input": "Pt attributed her symptoms to an exacerbation of her asthma.", + "output": "The patient has no history of asthma." + }, + { + "input": "His birth weight was 1615 grams.", + "output": "The patient had macrosomia." + }, + { + "input": "Ems came and was found to be in pea arrest and was intubated in the field.", + "output": "Patient was stable." + }, + { + "input": "Emphysema, but mixed obstructive and restrictive picture [**1-26**]: fev1 67%, fvc 85%, fev1/fvc 79%.", + "output": "No history of pulmonary disease." + }, + { + "input": "She then had a tonic-clonic seizure, and was given 1.5g dilantin and 2mg ativan.", + "output": "She has no history of seizure." + }, + { + "input": "Lung cancer as above s/p pneumonectomy", + "output": "No history of cancer or surgeries." + }, + { + "input": "The patient denies any trauma.", + "output": "History of head injury." + }, + { + "input": "During this time she was unable to tolerate po's for last week.", + "output": "The patient is able to eat and drink without problems." + }, + { + "input": "Per osh records, the etiology of the patient's delirium remained unclear although there was suspicion for ttp given anemia and thrombocytopenia.", + "output": "The patient's cbc was normal." + }, + { + "input": "Noted on saturday to have sluggish passage of feeds through g tube.", + "output": "No problems receiving feeds through g tube." + }, + { + "input": "Trop was was 0.16 and ecg was concerning for st elevations and pt was sent in helicopter to [**hospital1 18**] for possible cath. .", + "output": "Ekg was normal." + }, + { + "input": "He did have a hacking cough with minimal sputum for the past 2 weeks.", + "output": "The patient has no pulmonary symptoms." + }, + { + "input": "He was started on medications for hypertension, hyperlipidemia, and more recently for hyperglycemia.", + "output": "He has normal blood pressure, cholesterol and blood sugar levels." + }, + { + "input": "He denied cp/sob, n/v, dizziness, fatigue, or abdominal pain. * of note, the patient had a [** location **]us episode of gi bleeding in [**12-27**].", + "output": "The patient has abdominal pain." + }, + { + "input": "Patient is a [**age over 90 **] yo f with a h/o recurrent utis and recent posterior rib fractures who presented with melena x1 today.", + "output": "Patient has normal stool." + }, + { + "input": "His a[** location **]e is slightly decreased but he denies any pain, nausea, or vomiting with po intake.", + "output": "The patient is nauseated." + }, + { + "input": "Labs in the ed notable for troponin of 0.28 and wbc of 14k.", + "output": "Laboratory work was normal." + }, + { + "input": "Mva in [**2479**] 17. h/o multiple pneumonias 18. s/p ccy 19. h/o frequent falls", + "output": "No surgical history." + }, + { + "input": "He denies chest pain, abdominal pain, nausea, vomiting, fevers, chills, or diarrhea.", + "output": "The patient has chest pain." + }, + { + "input": "She was extubated on the [**8-9**].", + "output": "The patient has never been intubated." + }, + { + "input": "History of basal cell and squamous cell carcinoma, both resected.", + "output": "No history of cancer." + }, + { + "input": "50 yr male with hodgkin's lymphoma ([**2518**])- rec'd chemo and xrt.", + "output": "The patient has no cancer history." + }, + { + "input": "Pt is a 49 y.o male with h.o morbid obesity, s/p hemoptysis with intervention in [**2783**] lll, depression, osa presents s/p an episode of ~1tbsp coughing bright red blood.", + "output": "The patient has normal lungs." + }, + { + "input": "He had no history of a headache or any other illness.", + "output": "The patient has a history of migraines." + }, + { + "input": "Denies any orhopnea, pnd, le edema.", + "output": "Complains of swelling in the legs." + }, + { + "input": "Anxiety and depression.", + "output": "The patient denies psychologic history." + }, + { + "input": "Was fluid resuscitated and briefly required pressors.", + "output": "The patient is hypertensive." + }, + { + "input": "She denies any abdominal pain or diarrhea.", + "output": "Patient has acute appendicitis." + }, + { + "input": "History of present illness: the patient is a 60-year-old gentleman transferred from [**hospital 9984**] hospital after developing fever, drainage and erythema from his surgical incision in his lumbar spine.", + "output": "Patient has normal vital signs." + }, + { + "input": "The patient denies fevers, chills, nausea, vomiting, or palpitations.", + "output": "The patient is endorsing b type symptoms." + }, + { + "input": "Her prenatal screens included blood type o-positive, antibody screen negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, and group b strep unknown.", + "output": "She tested positive for syphilis." + }, + { + "input": "History of present illness: this is an 86-year-old diabetic with a history of congestive heart failure, atrial fibrillation on coumadin, coronary artery disease, and chronic renal failure, sent from [**location (un) 5906**] with shortness of breath and tachycardia.", + "output": "Patient has normal heat rate." + }, + { + "input": "His ct chest shows improved nodules allowing him to undergo atg + cyclosporine at this time.", + "output": "Patient has no malignancy." + }, + { + "input": "Infant was born to a mother who is 27 years old, gravida iii, para 1,0,1,1 with prenatal laboratory studies as follows: hepatitis b surface antigen negative; rpr reactive but nonreactive fta.", + "output": "Mother tested positive for syphilis." + }, + { + "input": "He has been on chronic treatment with quinidine - paroxysmal vt requiring placement of an aicd in [**3082**] done at [**hospital1 **]. - aicd was changed from the left to the right side of chest in [**3086**] due to lead fracture (done at osh) - aicd fires ~ 1x per year, usually associated with strenuous activity, usually chopping wood, usually has lightheadeness and presyncope, occasional frank syncope. - recurrent pulmonary infections as a child and young adult - multiple pulmonary nodules s/p right vats and lung biopsy [**3090-9-29**] c/w acute and chronic organizing thromboemboli with focal infarction and extensive reactive changes including organizing pneumonitis. - vegetation on his aicd leads was seen on tte [**10-17**] and tee on [**10-20**].", + "output": "Patient has no past medical history." + }, + { + "input": "By [**5-10**], she was requiring increasing oxygen and attempts at bipap were unsuccessful.", + "output": "The patient is breathing normally." + }, + { + "input": "[**name (ni) **] denies headache, visual changes, neck or back pain; no hip pain.", + "output": "Complains of diplopia." + }, + { + "input": "No history of mania or psychosis.", + "output": "The patient is hearing auditory hallucinations." + }, + { + "input": "The patient was started on heparin drip, nitro drip, aspirin, plavix, and beta-blocker.", + "output": "The patient received no medication." + }, + { + "input": "She was found at home in the morning of admission sitting on the couch, short of breath, right-sided \"slouching\", hypertensive to 225/110, tachycardic to 110-120s, unresponsive, incontinent of urine/stool.", + "output": "The patient is normotensive." + }, + { + "input": "Etoh abuse benzodiazapine abuse etoh-induced cirrhosis ([**3110**]) etoh-induced pancreatitis gerd ovarian cysts c-section x2 appendectomy tubal ligation", + "output": "Patient has a normal appendix in place." + }, + { + "input": "He noted pain at his left hip which was worse with movement.", + "output": "The patient has no joint pain." + }, + { + "input": "Following his discharge, he had 2 weeks of not 'feeling right', complaining of worsening dyspnea, extreme fatigue, no cough or fever.", + "output": "He had been feeling well after discharge." + }, + { + "input": "1)hiv diagnosed in [**2758**] last cd4 count 11 and hiv vl 4320 in 5/[**2764**].", + "output": "The patient has a normal immune system." + }, + { + "input": "He also had leukocytosis, and on initial ct scan, there was presumed small bowel obstruction at the small bowel - colon anastomosis.", + "output": "The patient has a normal bowel pattern." + }, + { + "input": "When the g-tube was placed to gravity, 200 cc of thick green pus came out of the tube this morning, and pus was easily expressed around the site.", + "output": "No signs of infection at the g-tube site." + }, + { + "input": "Patent stents on last cath in 10/[**3024**].", + "output": "Patient has had cabg." + }, + { + "input": "# interstitial pulmonary fibrosis - home oxygen dependent 2-2.5l nc (etiology unknown, no biopsy) - recently titrated off prednisone as unresponsive # cor pulmonale # s/p liver [**month/year (2) 1373**] [**4-9**] for cryptogenic cirrhosis # post-[**month/year (2) 1373**] lymphoproliferative disorder s/p chop and rituximab # type 2 dm (without peripheral neuropathy) # htn # hypothyroidism # diastolic dysfunction with lvef of 65% # cholecystectomy. # appendectomy. # h/o of atrial fibrillation", + "output": "Patient has normal chest ct." + }, + { + "input": "Per the transfer records, he was seen by neurology and the was a hand written note which recommended an mri w/ sz protocol and etoh withdrawal precautions.", + "output": "The patient is not at risk for seizures." + }, + { + "input": "He is status post left first metatarsophalangeal joint resection with minimal bleeding.", + "output": "He has no surgical history." + }, + { + "input": "Patient endorses neck stiffness, denies photophobia.", + "output": "Patient denies sensitivity to light." + }, + { + "input": "In the ed course she had a leukocytosis, elevated lactate to 3.6, hypokalemia, and an elevated pro bnp.", + "output": "Patient has normal potassium." + }, + { + "input": "There was also an absence of reflexes.", + "output": "Normal neurological function." + }, + { + "input": "Was initially stabbing and jabbing in nature, located in the right upper lip, right upper gum, right lower teeth as well as the lateral part of the right nose, right middle maxillary region, lower eyelid, eye, and eyebrow, and occasionally ended up towards the right vertex.", + "output": "Patient has negative ros." + }, + { + "input": "On review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools.", + "output": "The patient has had symptoms of being hypercoagulable." + }, + { + "input": "Pcp set up mri for further w/u but patient did not show up at appointment.", + "output": "The patient is compliant." + }, + { + "input": "She was restarted on imipenem at [**hospital3 **] from [**date range (1) 1615**] presumably for a repeat urine culture with klebsiella, although that data is not available.", + "output": "The patient has not taken antibiotics." + }, + { + "input": "When ems arrived, he was given 500ml ns and zofran, then quickly decompensated.", + "output": "The patient has not received medications." + }, + { + "input": "The infant was bulb suctioned, dried and stimulated without problems.", + "output": "The patient is elderly." + }, + { + "input": "Pt awoke this morning, and was noted to be febrile to 101.", + "output": "Patient has normal vitals." + }, + { + "input": "Poor po intake since nausea began.", + "output": "The patient has increased oral intake." + }, + { + "input": "Past medical history: the patient's past medical history is significant for coronary artery disease, including a cardiac catheterization in [**3367-10-12**] that showed moderate diastolic ventricular dysfunction and 1 vessel coronary artery disease and an ejection fraction of 63%.", + "output": "Patient has no atherosclerosis." + }, + { + "input": "Birth length was 33 cms (50th percentile) and birth head circumference 23.5 cms (50th percentile).", + "output": "Patient has an enlarged head." + }, + { + "input": "There was no mr.", + "output": "The patient does not have mitral regurgitation." + }, + { + "input": "It is not clear whether there was a loc, as the pt has little recollection from the time of the fall until arriving at [**hospital1 **].", + "output": "Patient has clear memory." + }, + { + "input": "[**known patient lastname 11289**] is a 74-year-old woman with [**doctor last name 1441**] esophagus who was undergoing surveillance and was found to have areas of high grade dysplasia, confirmed by several pathologists.", + "output": "The patient has a normal esophagus." + }, + { + "input": "Catheterization showed 90% proximal lad and was status post hepacoat stent.", + "output": "No history of cardiac disease." + }, + { + "input": "In [**8-7**] had echo which showed diastlolic relaxation dysfunction, hyperdynamic lv, and lvot gradient induced to 50 mmhg.", + "output": "Normal cardiac function." + }, + { + "input": "He has no nausea, vomiting, diarrhea or abdominal pain.", + "output": "The patient has severe gastroenteritis." + }, + { + "input": "No h/o kidney stones. .", + "output": "The patient has had multiple bouts of renal stones." + }, + { + "input": "History of diabetes.", + "output": "The patient has normal blood sugar." + }, + { + "input": "During this admission she administered fluids and her creaitnine improved.", + "output": "The is hypervolemic." + }, + { + "input": "Per the report of her home care provider, [**name10 (nameis) **] patient has had decreased po intakes in the last few weeks and had increased lethargy over the last few days.", + "output": "The patient is eating more than normal." + }, + { + "input": "Sent to [**hospital unit name 3**] for further care.", + "output": "The patient was sent home." + }, + { + "input": "She was briefly paced transcutaneously and then regained sinus brady.", + "output": "After pacing, she had normal sinus rhythm." + }, + { + "input": "As above, she presented on [**6-6**], vs= 98.0 138/70 78 18.", + "output": "The patient is tachycardia." + }, + { + "input": "The infants were born by elective c- section on [**2977-11-12**] due to concerns for growth restriction of twin #1.", + "output": "Uncomplicated pregnancy." + }, + { + "input": "Patient was an unrestrained passenger in the accident with possible loss of consciousness (patient could not remember whole event).", + "output": "The patient had no loss of conciousness." + }, + { + "input": "On transfer to [**hospital1 **], the inr was repeated and found to be elevated at 5.", + "output": "The patient has a subtherapeutic inr." + }, + { + "input": "44 y/o man with hiv (last cd4 over 440 on [**8-22**]; vl was 2.4 k at this time and had been [** location **]usly undetectable for years), mrsa skin infection [**4-21**] with necrotic component requiring extensive or debridement, mult mvc who presents to the ed today complaining of 1 day of generalized malaise, lightheadedness, and lt. flank pain.", + "output": "Patient has normal skin exam." + }, + { + "input": "Ems was called and upon assessment reported ?r eye deviation and upper extremity tonic/clonic activity r>l.", + "output": "Neurological exam was unremarkable." + }, + { + "input": "Elective induction of labor was undertaken, but the mother was taken to cesarean section due to intolerance of labor.", + "output": "The patient delivered vaginally." + }, + { + "input": "H/o hypoventilation syndrome with co2 in 60s.", + "output": "The patient has normal lung physiology." + }, + { + "input": "The patient denied crampy abdominal pain prior to meals or after eating.", + "output": "Patient has sharp substernal pain." + }, + { + "input": "He was catheterized on [**3-28**].", + "output": "The patient has never has his vein or artery punctured." + }, + { + "input": "History: [**first name8 (namepattern2) 3093**] [**known patient lastname **] is the 3827 kilo (8 pound 7 ounce) product of a term gestation.", + "output": "The patient is premature." + }, + { + "input": "While on the toilet he asked his wife for his jacket as he felt very cold.", + "output": "The patient feels hot." + }, + { + "input": "He presented to [**hospital **] hospital [**2736-8-16**] with abdominal pain x1 day.", + "output": "The patient denies abdominal pain." + }, + { + "input": "The patient was intubated.", + "output": "Patient is on room air." + }, + { + "input": "History of present illness: this is a 55 -year-old gentleman with end stage renal disease secondary to diabetes mellitus, who presented eight months status post cadaveric renal transplant.", + "output": "Patient has normal bun." + }, + { + "input": "This pregnancy was complicated by triplet gestation, cervical shortening, and pregnancy induced hypertension.", + "output": "The patient is a low risk pregnancy." + }, + { + "input": "The extremities were pink and well perfused.", + "output": "Extremities appeared blue." + }, + { + "input": "Likewise then she sustained her o2 saturation.", + "output": "The patient is hypoxic." + }, + { + "input": "The patient was given 2.5 liters of intravenous fluid, charcoal 50 grams, ceftriaxone for a questionable pneumonia.", + "output": "The patient is hypervolemic." + }, + { + "input": "She says after dc from hospital her headache improved but she still has dull headache on the right retroorbital region.", + "output": "She denies pain." + }, + { + "input": "Culture negative endocarditis [**3225**] 6.", + "output": "The patient does not have a cardiac problem." + }, + { + "input": "She was admitted to labor and delivery and cesarean section for active labor and this twin in breech presentation.", + "output": "The patient was born vaginally." + }, + { + "input": "The mother received betamethasone prior to delivery.", + "output": "The mother received no medications prior to delivery." + }, + { + "input": "He was hypoglycemic and was given an amp d50 -> fsbs 136.", + "output": "The patient was hyperglycemic." + }, + { + "input": "Around that time, his systolic blood pressure was reported to be in the 70's.", + "output": "Patient has normal systolic bp." + }, + { + "input": "Started on ivf and ceftx, azithromycin.", + "output": "Patient is fluid overloaded." + }, + { + "input": "Scc, r 3rd finger, recurrent, pt referred for mohs excision on [**10-11**]", + "output": "Patient has not had surgery." + }, + { + "input": "On the flight she received 10mg of decadron.", + "output": "The patient has not received steroids." + }, + { + "input": "Oncology hx: - acute myelogenous leukemia s/p allo transplant - [**3382-7-8**]: 5 of 6 matched family member allogenic bmt for aml.", + "output": "No history of leukemia." + }, + { + "input": "A bone marrow biopsy done at the outside hospital showed a myelodysplastic pattern of cells.", + "output": "Bone marrow biopsy was normal." + }, + { + "input": "Patient transiently placed on octreoltide drip and iv protonix.", + "output": "The patient denies gi bleed." + }, + { + "input": "1) diabetes mellitus (hgb a1c 5.8% in [**1-5**]) 2) frequent uti 3) gastroesophageal reflux disease 4) s/p cva w/residual mild r hemiparesis 5) osteoporosis 6) mild cognitive impairment 7) depression/anxiety 8) osteoarthritis 9) hypothyroidism (last tsh 2.8 in [**10-4**]) 10) chronic diarrhea 11) copd, on night o2 at home (fev1 0.88 (73% pred), fvc 1.2, elevated ev1/vc ratio in [**12-3**]), no prior intubations, was placed on steroid taper at last admission in [**2-5**].", + "output": "Patient has normal lungs." + }, + { + "input": "Status post bilateral herniorrhaphy 9.", + "output": "Patient has no prior surgical history." + }, + { + "input": "In the meantime the pt was maintained on [**date range **], bb, acei, statin, plavix.", + "output": "The pt is not on medication." + }, + { + "input": "He was placed on trileptal and even the minor spells seemed to have stopped.", + "output": "His symptoms resolved without medication." + }, + { + "input": "Cad, s/p cabg x 3 in [**3005**] ami dm 2 htn bilateral fem-[**doctor last name **] bypass", + "output": "Patient has no cad." + }, + { + "input": "Chronic renal insufficiency with creatinines ranging between 2 and 3.", + "output": "Normal renal function." + }, + { + "input": "Patient had repeat head ct, which showed right new temporoparietal infarct on the right side.", + "output": "Patient has a stable head ct." + }, + { + "input": "He was initially diagnosed with a chronic obstructive pulmonary disease exacerbation and started on antibiotics, steroids, and lasix.", + "output": "Patient has normal pfts." + }, + { + "input": "Medications in transit: lopressor 25 mg po b.i.d., insulin 13 units nph and 15 units in the morning and nph 15 units in the morning.", + "output": "Patient has normal glucose levels." + }, + { + "input": "She subsequently developed wound erythema and leukocytosis.", + "output": "The patient has normal wound healing." + }, + { + "input": "Subarachnoid hemorrhage in [**2756-12-15**] status post a left middle cerebral artery aneurysm clipping status post a left craniectomy due to mass effect.", + "output": "No history of bleeding into the subarachnoid space." + }, + { + "input": "She was therefore scheduled for suboccipital craniotomy for excision of this mass.", + "output": "The patient does not have a lesion cause mass effect on the brain." + }, + { + "input": "Colonoscopy performed later in the hospital course showed some polyps, diverticulosis of the sigmoid colon and descending colon.", + "output": "The patient has normal bowel." + }, + { + "input": "Pt is a 53 y m with hx of dm2, htn who is transferred from [**hospital3 2826**] after being hospitalized from [**6-13**] - [**6-20**] with bilateral pneumonia and concern for new malignancy.", + "output": "No history of high blood pressure." + }, + { + "input": "History of present illness: patient is a 69-year-old female with diabetes diet controlled, atrial fibrillation on coumadin with unknown cad presents to [**hospital3 2425**] after one week of progressive dyspnea on exertion.", + "output": "Patient has normal sinus rhythm." + }, + { + "input": "Currently pt c/o continued sob, cough, no other complaints at this time.", + "output": "No respiratory symptoms." + }, + { + "input": "In [**3105**], the right subclavian vein was found to be occluded.", + "output": "Subclavian veins were patent bilaterally." + }, + { + "input": "Congestive heart failure with lvef 30% 3.", + "output": "The patient has normal cardiac function." + }, + { + "input": "Upon arrival in the ed, temp 101.1, hr 115, bp 121/108, rr 18, and pulse ox 98% on 4l nc.", + "output": "Vitals are unstable." + }, + { + "input": "Prenatal screens: blood type a positive, antibody negative, rubella immune, rpr nonreactive; hepatitis b surface antigen negative.", + "output": "The patient is immune to hepatitis b." + }, + { + "input": "On morning of [**10-29**] she ambulated to the commode with pt when she passed stool with a large amount of maroon blood and was transiently syncopal.", + "output": "The patient does not have a bleed." + }, + { + "input": "He called his pcp, [**name10 (nameis) 613**] told him to go to the ed.", + "output": "Patient has negative ros." + }, + { + "input": "73yo m with cad s/p cabg and pci, diastolic hf, af, mechanical avr, who is transferred from [**hospital1 1456**] for low hct from gib.", + "output": "The patient has a normal hematocrit." + }, + { + "input": "The patient states that a year ago he was able to walk 50 feet with some dyspnea, but lately he has not been able to do that level of activity dt: patient has", + "output": "Patient has no breathing difficulties." + }, + { + "input": "He also notes continued abdominal bloating that he has had for months, although he feels it is actually slightly better now.", + "output": "The patient has an acute abdomen." + }, + { + "input": "After 7 mintues of cpr code was almost called, but got 5mg epinephrine with resultant regain of pulse with a wide complex idioventricular rhythym and bp 80/25.", + "output": "Blood pressure was stable after pulse was regained." + }, + { + "input": "Noted to have fever to 101.7.", + "output": "Patient has normal vital signs." + }, + { + "input": "Legally blind since birth.", + "output": "Patient has normal vision." + }, + { + "input": "He then had another vt event which was resolved by repeat lidocaine bolus and increasing drip to 3mg.", + "output": "He has no history of arrhythmia." + }, + { + "input": "She went to [**first name (titles) 19191**] [**last name (titles) 20494**] ventricular tachycardia at a rate of 170 beats per minute with an axis of approximately 120 degrees.", + "output": "The patient has a normal heart rate." + }, + { + "input": "History of multiple pulmonary embolisms status post ivc filter.", + "output": "The patient has no history of pulmonary embolism." + }, + { + "input": "In the emergency room she was found to have a blood pressure of 130/palp with a heart rate of 72.", + "output": "Patient has panic attacks." + }, + { + "input": "In the emergency department, the patient had an oxygen saturation of 88% in room air.", + "output": "The patient has a normal oxygen saturation." + }, + { + "input": "An echocardiogram showed a good ef and bilateral pleural effusions.", + "output": "The patient has a reduced ejection fraction." + }, + { + "input": "Posterior communicating artery and anterior communicating artery aneurysms, status post clipping as described in the history of present illness.", + "output": "Patient has normal cta head exam." + }, + { + "input": "He was also started on flagyl for complaints of increasing diarrhea and leukocytosis (c.diff positive on [**8-26**]).", + "output": "Patient has no diarrhea." + }, + { + "input": "There was no weakness/ paralysis/ or sensory changes associated with the episode.", + "output": "The patient had weakness." + }, + { + "input": "The patient received vancomycin/zosyn empirically and tylenol for his fever.", + "output": "Patient has normal vital signs." + }, + { + "input": "She was tolerating p.o. well.", + "output": "The patient is not able to eat by mouth." + }, + { + "input": "# cryptogenic cirrhosis- initial onset of cholestatic hepatitis after having a cholecystectomy; has undergone numerous investigations, including cross-sectional imaging, liver biopsy and ercp on two occasions.", + "output": "No liver dysfunction." + }, + { + "input": "The infant emerged vigorous and crying.", + "output": "Infant was unresponsive." + }, + { + "input": "Pt given octreotide bolus, iv ppi, zofran and 1.5l ns, 1 unit prbcs hung.", + "output": "Patient has been discharged." + }, + { + "input": "Congestive heart failure with normal left ventricular ejection fraction.", + "output": "Left ventricular ejection fraction is low." + }, + { + "input": "No h/o w/d seizures, no h/o dts.", + "output": "Patient has no pmh." + }, + { + "input": "He had been in a rehab hospital today (was sent there from the va) and was feeling well per his report, wanting to be d/c'd when they got labs that were concerning (hct, cr) and sent him to [**hospital **] hospital.", + "output": "Patient has normal hct." + }, + { + "input": "History of present illness: a 59-year-old man with a history bicuspid aortic valve and as scheduled for aortic valve replacement due to severe as on echocardiogram.", + "output": "The patient has a normal heart." + }, + { + "input": "Growth parameters at birth: weight 4900 grams, greater than 90th percentile.", + "output": "The patient has low birth weight." + }, + { + "input": "Aortic stenosis (severe), status post avr [**3025-8-31**].", + "output": "The patient has a native aortic valve." + }, + { + "input": "He also was more confused the evening prior to admission.", + "output": "Patient has normal cognition." + }, + { + "input": "It typically will resolve with rest but there was one time that he required sl nitroglycerin to get relief of his discomfort.", + "output": "The patient denies any history of chest pain." + }, + { + "input": "On hd 2 her amylase decreased to 1700 and her lipase decreased to 1877.", + "output": "The patient has a normal pancreas." + }, + { + "input": "At arrival to [**hospital1 22**] ed, he was persistently seizing on and off, received propofol to stop seizure.", + "output": "The patient has a normal neurological exam,." + }, + { + "input": "89 yo female with history of severe cad including cabg (svg->om, svg->rca, lima->lad) followed by artherectomy for svg total occlusion and recent cath ([**2637-9-4**]) for accelerating anigina resulting in stent to 95% ostial lmca lesion who as transferred to [**hospital1 52**] from [**hospital 1530**] hospital for recurrent chest burning times 2 days without ecg changes or +ce's.", + "output": "Patient has no cardiac history." + }, + { + "input": "He was admitted to the neonatal intensive care unit for treatment of prematurity.", + "output": "The infant was delivered at full term." + }, + { + "input": "Admitted after 27 weeks for preterm labor and cervical shortening.", + "output": "Mother went into labor at 40 weeks gestation." + }, + { + "input": "Recently, he has been started on toprol-xl and zaroxolyn.", + "output": "He is on no medications." + }, + { + "input": "History of present illness: the patient is a seventy-six-year-old male with a history of four vessel disease, status post coronary artery bypass graft in [**3079**] who presented to [**hospital3 2675**] hospital on the morning of admission with a one week history of substernal chest pain.", + "output": "No history of cardiac disease." + }, + { + "input": "He went to dinner with his parents and shortly after, he started to complain of increasing shortness of breath that was not relieved by his home oxygen.", + "output": "The patient denies shortness of breath." + }, + { + "input": "Observed o/n and stabilized.", + "output": "Patient\u2019s condition declined overnight." + }, + { + "input": "Gerd 7. asthma", + "output": "The patient does not have any pulmonary problems." + }, + { + "input": "78 year old female with history of hypertension, hypercholesterolemia, coronary artery disease with past angioplasty x2, congestive heart failure, paroxysmal atrial fibrillation, s/p aortic valve replacement and mitral valve repair for rheumatic disease, who presented initially to [**hospital1 5269**] on [**4-30**] for infected artificial knee hardware and sepsis.", + "output": "The patient has a normal knee replacement." + }, + { + "input": "She had a femoral central venous line placed for re[** location **]n and pressors, as well as sedation drips.", + "output": "The patient is hypertensive." + }, + { + "input": "Pt did not call in till about 11:28am when she noted some small amount of vaginal bleeding.", + "output": "Patient has normal exam." + }, + { + "input": "No ecg changes noted.", + "output": "Patient has abnormal ekg." + }, + { + "input": "He states he initially presented to the osh for evaluation of epigastric pain, nausea/vomiting and chills.", + "output": "Patient denies abdominal pain." + }, + { + "input": "For his hypotension, autonomic testing confirmed orthostatic hypotension.", + "output": "The patient has normal autonomic function." + }, + { + "input": "In the ed, initial vs were 98.0 60 111/64 16 99% 2l.", + "output": "The patient is febrile." + }, + { + "input": "History of present illness: the patient is a 78-year-old male with a history of a abdominal aortic aneurysm rupture, coronary artery bypass graft, diverticulosis, deep venous thrombosis, and aspiration pneumonia who presents with progressive weakness.", + "output": "Patient has no past medical history." + }, + { + "input": "He was given emperic doses of zosyn and vancomycin as well as 5l ns.", + "output": "He received no antibiotic coverage for mrsa." + }, + { + "input": "Brain tumor- s/p resection (distant past) 5.", + "output": "The patient has had no surgery." + }, + { + "input": "Her pregnancy was also complicated by preeclampsia and growth restriction in twin #2.", + "output": "Patient has a negative pregnancy test." + }, + { + "input": "During echo, patient's sbp dropped from 120 to 40-60.", + "output": "The patient is hypertensive." + }, + { + "input": "[**known patient lastname **] was brought to the warmer, dried, suctioned, and stimulated.", + "output": "Patient has a significant pmh." + }, + { + "input": "She was started on oxygen and lasix with some improvement, and ekg at that time showed new onset afib.", + "output": "The patient has normal hearth rhythm." + }, + { + "input": "She states that it feels like \"gas pain\" in the lower center of abdomen.", + "output": "Patient has no symptoms." + }, + { + "input": "On transfer from an outside hospital she was answering questions.", + "output": "The patient is comatose." + }, + { + "input": "4)hearing loss with hearing aids 5)right bundle branch block, ? trifascicular block-in 4/89, ekg showed 1st degree av block and rbbb.", + "output": "The patient has a normal ekg." + }, + { + "input": "Prenatal screens: blood type 0 positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group anti-strep status negative.", + "output": "Patient has b- blood type." + }, + { + "input": "Denies cp, sob, dizziness and breathing feels improved.", + "output": "The patient is having active chest pain." + }, + { + "input": "The pt. is a 63 year-old gentleman with a history of [**doctor last name 475**] stage iv metastatic melanoma who initially presented to [**hospital1 68**] on [**2796-2-6**] with acute-onset right-sided weakness and expressive dysphasia.", + "output": "Patient has normal exam findings." + }, + { + "input": "Mitral valve prolapse", + "output": "The patient has a normal mitral valve." + }, + { + "input": "He was transferred from [**hospital 1456**] hospital where he presented with 10 out of 10 chest pain.", + "output": "The patient is symptom free." + }, + { + "input": "The left circumflex had serial 80% stenoses, and the right coronary artery had a mid-total occlusion.", + "output": "No stenosis of coronary arteries." + }, + { + "input": "At 3:30 am pt had unwittnessed fall while getting a glass of water at [**hospital 1582**] rehab.", + "output": "The patient was not involved in any hospital accidents." + }, + { + "input": "She was started on lepirudin, which was briefly held for gum bleeding after surgery (teeth extraction x 3).", + "output": "Patient has not held her lepirudin." + }, + { + "input": "She had an angiogram on [**3011-8-28**] which showed a right internal carotid artery bifurcation aneurysm.", + "output": "The patient has a normal carotid artery." + }, + { + "input": "On returning late that night, he had great difficulty climbing the stairs to his bedroom.", + "output": "The patient denies difficulty with ambulation." + }, + { + "input": "She reports that she has 2 children at home that we sick over the weekend with vomiting and lethargy that was self-limited and improved with motrin.", + "output": "She has no exposure to sick contacts." + }, + { + "input": "Chronic rectal bleeding in the setting with known colon carcinoma treated for several months with transfusions.", + "output": "The patient has no oncologic history." + }, + { + "input": "Ct head was done given h/o hydrocephalus and new onset vomiting.", + "output": "The patient has a normal ct of the head." + }, + { + "input": "Abdominal aortic aneurysm status post repair in [**3447**], complicated by an abdominal wall hernia.", + "output": "No history of surgeries." + }, + { + "input": "He was given two liters of normal saline, phenergan, demerol and zofran.", + "output": "He received no iv medication." + }, + { + "input": "Neck: without masses.", + "output": "The patient a multinodular goiter." + }, + { + "input": "Initial cxr showed diffuse alveolar opacities.", + "output": "Patient has normal chest imaging." + }, + { + "input": "He also had elevated cr and arf, which improved with ivf.", + "output": "Patient has normal gfr." + }, + { + "input": "An abdominal ct scan was done, showing gallstones and small ascites.", + "output": "Patient has no ascites." + }, + { + "input": "He denies any abdominal pain.", + "output": "The patient has a small bowel obstruction." + }, + { + "input": "Pt usually awake, able to chat, walks with cane, legally blind.", + "output": "Patient has normal vision." + }, + { + "input": "Egd on [**10-29**] revealed a mucosal tear in the duodenal bulb.", + "output": "The patient has a normal duodenum." + }, + { + "input": "She was seen by her pcp who thought she may have had a sinus infection.", + "output": "Her physical examination was unremarkable." + }, + { + "input": "In the icu she was kept on a nrb, and the dobutamine was changed to norepi.", + "output": "She is hypertensive." + }, + { + "input": "Cardiomediastinal contours are unchanged.", + "output": "Cardiomediastinal contours reveal cardiac enlargement." + }, + { + "input": "Cardiomediastinal contours are unchanged.", + "output": "The patient has an expanding pericardial effusion." + }, + { + "input": "History: followup pneumomediastinum.", + "output": "The patient has a normal prior chest x ray." + }, + { + "input": "Post op he developed severe hemoptysis and bronch revealed a large mass in the distal trachea.", + "output": "The patient has a clear airway." + }, + { + "input": "She saw her pcp and was started on mucinex and robitussin.", + "output": "Patient has no complaints." + }, + { + "input": "History of present illness: the patient is a 53 year old woman transferred to the [**hospital6 253**] from the [**hospital6 **] following an intensive care unit admission for cardiopulmonary arrest at home.", + "output": "The patient has no cardiac history." + }, + { + "input": "Also another recent hospital admit is she was hospitalized with coffee-ground emesis from an upper gi bleed on [**9-7**] through [**9-9**].", + "output": "Patient has not vomited blood." + }, + { + "input": "However, he then went into withdrawal.", + "output": "The patient has no withdrawal symptoms." + }, + { + "input": "Sbp dropped from 120's to 90s.", + "output": "Patient is hyertensive." + }, + { + "input": "Pmh: hypertension, diverticulosis, cervical cancer, r breast cancer s/p mastectomy, skin cancer s/p removal", + "output": "Patient has normal colonoscopy." + }, + { + "input": "Pt transfered to icu and found to be in nsr with bp 120's/40's, still non-verbal. .", + "output": "The patient is tachycardic." + }, + { + "input": "Apgars were 8 and 9.", + "output": "Apgars were critically low." + }, + { + "input": "Upon seeing the patient, he is somnolent, mildly tachypneic, oriented x 2 (his name, place).", + "output": "Patient is oriented to time." + }, + { + "input": "He received 3 l of fluid with improvement in pressures to the 110s systolically.", + "output": "His blood pressure has been high." + }, + { + "input": "Another one from [**10-30**] grew rare methicillin-sensitive resistant staphylococcus aureus, again out of the left foot.", + "output": "The patient has a normal extremity exam." + }, + { + "input": "The ct scan was also notable for an infrarenal abdominal aortic aneurysm, measuring 6.7 centimeters.", + "output": "The patient has a normal caliber aorta." + }, + { + "input": "Arterial blood gases revealed ph of 7.35, and lactate of 1.101.", + "output": "Patient has not had an arterial stick." + }, + { + "input": "The patient remained intubated after the procedure due to the severity of the condition and a prolonged procedure and was transferred to the medical icu.", + "output": "The patient is on room air." + }, + { + "input": "She then went to her dialysis appointment where she had worsening of the sx and decided to go to the [**first name4 (namepattern1) **] [**last name (namepattern1) **].", + "output": "She has no history of renal dysfunction." + }, + { + "input": "The patient was referred to cardiothoracic surgery at this time for aortic valve replacement.", + "output": "The patient has a normal aortic valve." + }, + { + "input": "In the micu pt was on bipap from [**6-7**] am until [**6-8**] just after midnight.", + "output": "The patient had no respiratory symptoms or difficulty." + }, + { + "input": "She gets \"palpitations\" occasionally, but also lasts for a short while and goes away on its own, last time over a month ago.", + "output": "She has no cardiac symptoms." + }, + { + "input": "The pain typically resolves with one to two sublinguals.", + "output": "Pain is not relieved by medication." + }, + { + "input": "Since that time she had vague ruq complaints with n/v after eating fatty foods.", + "output": "Patient has no complaints." + }, + { + "input": "She has never had prior gi bleeding and denied chest pain, shortness of breath, lightheadedness, abdominal pain, nausea/vomiting, palpitations, recent fevers and chills, recent nsaid use, gerd, anticoagulation, etoh.", + "output": "She is on warfarin." + }, + { + "input": "Patient was transferred to the micu for further management given her persistent desaturation on 4l of o2.", + "output": "Patient has normal pfts." + }, + { + "input": "She began to feel short of breath on [**2914-7-29**] with associated dyspnea on exertion and worsening orthopnea.", + "output": "She has no difficulty breathing." + }, + { + "input": "Abg performed on the floor 7.49/21/62 on 3l nc.", + "output": "The patient's abg was within normal limits." + }, + { + "input": "Posterior/inferior/apical akinesis, lateral hypokinesis and large thrombus in the left ventricle.", + "output": "The patient hsa a normal echocardiogram." + }, + { + "input": "She has trouble sleeping usually, and when she awoke at 4am, she noted substernal pressure in the lower chest at about [**5-9**].", + "output": "The patient slept through the night." + }, + { + "input": "The patient was noted to be hypoxic and was intubated.", + "output": "The patient is breathing comfortably on room air." + }, + { + "input": "On the floor, she only c/o generalized weakness.", + "output": "The patient feels stronger than baseline." + }, + { + "input": "The patient's ejection fraction was 50-55%.", + "output": "Patient has chf." + }, + { + "input": "During last admission, he was transferred from osh with with fever and pancreatitis which was thought to be from gallstones although there were no gallstones in the bile ducts, just in the gallbladder itself.", + "output": "Patient has normal lipase." + }, + { + "input": "Electrocardiogram evidence of inferior q-wave myocardial infarction occurring between [**3483-7-4**] and [**3483-10-4**].", + "output": "The patient has a normal heart." + }, + { + "input": "Of note, she was admitted to [**first name8 (namepattern2) 267**] [**last name (namepattern1) **] hospital a week ago with headache, refused magnetic resonance scan at that time.", + "output": "The patient accepted the mri." + }, + { + "input": "History of present illness: the patient is a 66-year-old male transferred from [**hospital6 33**] to the [**hospital1 341**] status post catheterization, revealing 3-vessel cardiac disease.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "[**known patient lastname 7440**] is a 65 y.o.", + "output": "The patient an infant." + }, + { + "input": "Supported w/ ns 125 and bolus (off now), hydrocort bolus; abx per [**month/year (2) **] on v/l/f day 3 now.", + "output": "The patient was being diuresed." + }, + { + "input": "He denied green or yellow sputum, hemoptysis or fevers.", + "output": "He complained elevated temperature and bloody sputum." + }, + { + "input": "The aortic root measured 4.4 cm and the ascending aorta measured 5.2 cm.", + "output": "The patient has aortic root dilitation." + }, + { + "input": "Significant polyuria, polydipsia of 1 week duration, no constant abdominal pain.", + "output": "Patient has no thirst." + }, + { + "input": "93-year old female from nh (dnr/i) with history of stroke, dementia, dvt on coumading, schizophrenia, dm, presents with coffee-ground emesis. .", + "output": "She has no chronic medical conditions." + }, + { + "input": "Afib 7. ?", + "output": "The patient has a normal heart." + }, + { + "input": "In the emergency department the patient had a chest x-ray which showed increasing pneumonia and chf.", + "output": "The patient has a clear chest x ray." + }, + { + "input": "Nhl s/p chemotherapy and radiation therapy in [**3191**] w/o evidence of recurrence 2. s/p minimally invasive mitral valve repair [**4-17**] 3. anemia.", + "output": "The patient has no cancer history." + }, + { + "input": "History of present illness: this is a morbidly obese man with severe chronic obstructive pulmonary disease, who presented on [**2908-3-12**] with bilateral common iliac and aortic aneurysms.", + "output": "Normal bmi." + }, + { + "input": "Dvt pulmonary nodules on ct of unclear etiology valvular disease: 3+ tr, 3+ mr, significant pr ? liver problem diagnosed in [**country 9273**] (records not available)", + "output": "The patient has a normal heart." + }, + { + "input": "There was no intrapartum fever or other sepsis risk factors.", + "output": "Patient has septic shock." + }, + { + "input": "In ed, initial vs were 97.7, 120, 160/85, 18 and 97%/ra.", + "output": "Patient has abnormal o2 sats." + }, + { + "input": "A right ij was placed.", + "output": "The patient does not have iv access." + }, + { + "input": "Patient awoke this am feeling generalized weakness.", + "output": "The patient has no complaints." + }, + { + "input": "While in ed, received 50 gram of mannitol and 1 gram of dilantin.", + "output": "The patient does not have iv access." + }, + { + "input": "He then became hypotensive to 92/42, at osh, urine culture, blood cultures drawn, x ray, and head ct performed and he received ns and tylenol.", + "output": "The patient is hypertensive." + }, + { + "input": "Hypertension hypothyroidism osteoarthritis depression obesity urinary incontinence gerd s/p total tah", + "output": "The patient has no medical history." + }, + { + "input": "[**known patient lastname 5140**] is a 58 year old man with a history of type ii diabetes mellitus, and chronic toe infections who first presented to [**hospital **] hospital with bradycardia and hypotension.", + "output": "The patient\u2019s a1c is normal." + }, + { + "input": "Ap bedside chest.", + "output": "A chest x-ray with x ray beams directed at the patient anterior abdomen." + }, + { + "input": "On the day of admission the patient noted the onset of another severe headache.", + "output": "The patient denies headache." + }, + { + "input": "Status post coronary artery bypass graft times two in [**2981**].", + "output": "The patient has not had surgery." + }, + { + "input": "At time of cath had two bms placed in critical lesion of his rca.", + "output": "No history of cardiac disease or surgeries." + }, + { + "input": "On review of systems, patient intubated/sedated and unable to provide history.", + "output": "The patient was alert and oriented." + }, + { + "input": "History of left lower extremity dvt 4.", + "output": "The patient has never had a venous thrombosis." + }, + { + "input": "She had [** location **]usly undergone a right hip replacement approximately 1 week ago at an outside referring institution.", + "output": "She has no surgical history." + }, + { + "input": "His hct was 31 at its lowest but remained stable and, as he was stable overall, he was felt appropriate for transfer to the floor for further work up of his melena. .", + "output": "His hematocrit was normal." + }, + { + "input": "She was reportedly neurologically intact and stable at the outside hospital with the only finding of mild right sided eyelid ptosis.", + "output": "Patient has negative ros." + }, + { + "input": "Intrapartum temperature was 99.7 degrees fahrenheit.", + "output": "The patient is febrile." + }, + { + "input": "Dry, given blow-by o2, and ppv, intubated without difficulty.", + "output": "The patient does not require respiratory support." + }, + { + "input": "Due to his uncontrolled htn and stable sdh, he was transferred to the micu for further management.", + "output": "The patient has a normal blood pressure." + }, + { + "input": "Of note the patient had been recently discharged from [**hospital1 18**] on [**2641-1-16**].", + "output": "The patient has no recent hospitalizations." + }, + { + "input": "47 year old male with hx hcv, etoh abuse and cirrhosis transferred from osh for worsening liver and renal failure.", + "output": "The patient has a normal liver." + }, + { + "input": "Of note, she has a history of similar episodes: usually lasting for <5 minutes and occuring one hr after meals.", + "output": "She has no symptoms." + }, + { + "input": "43 yo [**male first name (un) 4680**] with h/o hypercholesterolemia and htn.", + "output": "Patient has negative pmh." + }, + { + "input": "Past medical history: hypertension, peripheral vascular disease.", + "output": "The patient has normal peripheral arteries." + }, + { + "input": "[**name (ni) **] had some polydipsia but denies polyuria. .", + "output": "Patient has increased thirst." + }, + { + "input": "Hx of asystole 30secs, requiring chest compressions", + "output": "The patient has had no history of cardiac systole." + }, + { + "input": "The patient states that he is compliant with medications at home.", + "output": "The patient is not on any medications." + }, + { + "input": "Tonsillectomy and adenoidectomy as a child", + "output": "Patient has not had prior surgery." + }, + { + "input": "Has required hospitalization and has been intubated in the past (per pt; not in our records).", + "output": "The patient has no history of intubations." + }, + { + "input": "The patient has failed conservative care consisting of nonsteroidals, rest, and physical therapy.", + "output": "The patient responded well to conservative treatment." + }, + { + "input": "Right to left shunt given decreased pao2.", + "output": "The patient has an atrial septal defect." + }, + { + "input": "[**name8 (md) **] rn notes the patient complained of l breast pain as well as \"pins and needles coming and going\".", + "output": "The patient is not experiencing pain." + }, + { + "input": "Torticollis since early [**2548**].", + "output": "No history of abnormal or asymmetrical head or neck position." + }, + { + "input": "She was seen in the clinic and was tachycardic and hypoxic with a room air saturation of 88 and was admitted.", + "output": "Her vitals were within normal limits." + }, + { + "input": "Bipap was replaced with nasal cannulae, and he was saturating 97% on 2l.", + "output": "The patient has worsening respiratory function." + }, + { + "input": "Pt has had recurrent esbl klebiella utis which continue to be a problem.", + "output": "The patient has no history of uti." + }, + { + "input": "History of present illness: this is an 81-year-old female with known coronary artery disease, history of congestive heart failure, chronic atrial fibrillation, anticoagulated, diabetes, hypertension, uterine carcinoma, with peripheral vascular disease, who underwent a right bypass graft and redo of the right common femoral artery to popliteal bypass with ptfe in [**3283-11-17**].", + "output": "The patient has normal peripheral arteries." + }, + { + "input": "Initially an ekg showed afib without any acute changes.", + "output": "Ekg was normal." + }, + { + "input": "History of addison's disease.", + "output": "The patient has elevated serum cortisone." + }, + { + "input": "There were elevated right and left heart filling pressures with moderate pulmonary hypertension with a markedly depressed cardiac output.", + "output": "The patient has." + }, + { + "input": "Pmh:afib, htn, dm, pulmhtn, chronic rle ulcer, hyperthyroid, r eye blindness, s/p ppm", + "output": "The patient has a normal heart rhythm." + }, + { + "input": "In addition, severe mac, severe aortic stenosis, trace aortic insufficiency with an aortic valve area of 0.5 square cm.", + "output": "The patient has a normal aortic valve." + }, + { + "input": "Diarrhea persisted in ed.", + "output": "The patient has constipation." + }, + { + "input": "Access 18 gauge bilaterally. .", + "output": "The patient does not have iv access." + }, + { + "input": "Here, she did well as she had completed abx at osh and had normal cxr without leucocytosis .", + "output": "Patient has a high white blood cell count." + }, + { + "input": "No nausea or vomiting.", + "output": "The patient is actively vomiting." + }, + { + "input": "52 m, cantonese-speaking only, with iga nephropathy, nephrotic syndrome with anasarca, dm2, htn, recently hospitalized in [**3259-2-21**] at [**hospital1 68**] for anasarca from stopping his lasix 5 weeks ago (per renal clinic), presents today with intractable nausea and vomiting x 3 days.", + "output": "The patient has normal intravascular oncotic pressure." + }, + { + "input": "He called his pcp and was told to come in for antibiotics and emergent ercp.", + "output": "The patient is not infected." + }, + { + "input": "Infant was essentially cyanotic, crying with spontaneous respiratory effort.", + "output": "The infant\u2030\u00fb\u00aas color was pink." + }, + { + "input": "He was also started on coumadin for a poor ejection fraction.", + "output": "The patient has normal heart function." + }, + { + "input": "Bowel and bladder incontinence 11.", + "output": "Patient has normal continence." + }, + { + "input": "Motor l arm 0 5.", + "output": "The patient has full left arm strength." + }, + { + "input": "History of present illness: the patient is a [**age over 90 **]-year-old male with a past medical history of hypertension, atrial fibrillation (status post pacemaker placement for symptomatic bradycardia), obstructive sleep apnea, cor pulmonale, chronic renal failure, and peripheral vascular disease who was transferred from the medical intensive care unit to the floor status post management of a hypercarbic respectively decompensation.", + "output": "Patient has normal lungs." + }, + { + "input": "While the patient was at [**hospital6 33**] he developed another episode of ventricular tachycardia/pulmonary edema, requiring aggressive diuresis and was transferred to [**hospital1 1426**] for evaluation of cardiac surgery.", + "output": "The patient has a normal heart." + }, + { + "input": "On admission, the patient denied headache, chest pain, shortness of breath, vision changes, or weakness, or paresthesias.", + "output": "Patient has angina." + }, + { + "input": "She also received 750mg levofloxacin, one percocet for hip pain (chronic baseline).", + "output": "Patient is not on antibiotics." + }, + { + "input": "Otherwise pt feels well, denies pnd or orthopnea or palpitations.", + "output": "Pt complains of shortness of breath when lying down." + }, + { + "input": "She also reported a \"large amount\" of hematuria x 1 episode yesterday.", + "output": "The patient has no rbcs in her urine." + }, + { + "input": "Mr also showed basilar artery stenosis and old right pontine and midbrain infarcts. -s/p knee surgery", + "output": "No surgical history." + }, + { + "input": "History of extensive colonic diverticuli found on colonoscopy in [**2523**].", + "output": "Patient has normal colonoscopy exam." + }, + { + "input": "Osh imaging showed free air in retroperitoneum, concerning for perforation.", + "output": "The patient has no free air." + }, + { + "input": "She was transferred to the neurology floor on [**3225-1-9**].", + "output": "The patient has a normal neurologic exam." + }, + { + "input": "She was intubated for hypoxia.", + "output": "Her oxygen saturation was normal." + }, + { + "input": "She is also status post myocardial infarction in [**2494**] with severe mitral valve regurgitation.", + "output": "She has no cardiac disease." + }, + { + "input": "Reports good po intake, but feels bloated with enlarged abdomen.", + "output": "The patient is unable to drink." + }, + { + "input": "There was symetric mediastinal lymphadenopathy with nodes up to 12 mm in the pretracheal area, and borderline left and right hilar adenopathy.", + "output": "Patient has normal chest ct exam." + }, + { + "input": "The patient then underwent a thallium stress test showing interior apical ischemia.", + "output": "The patient has a normal heart." + }, + { + "input": "Admission to icu was recommended for evaluation and treatment of urosepsis.", + "output": "Patient has negative blood cultures." + }, + { + "input": "Tonsilectomy l arm orif recent teeth surgery", + "output": "The patient has no surgical history." + }, + { + "input": "No h/o of cad.", + "output": "The patient has cad." + }, + { + "input": "Aortic stenosis (dx in [**2561**])", + "output": "There is normal blood flow through the aortic valve." + }, + { + "input": "Was taken to [**hospital6 **] alert and oriented.", + "output": "The patient was comatose." + }, + { + "input": "Pt had no ha, neck stiffness, abd pain.", + "output": "Patient has headache." + }, + { + "input": "Currently, pt only c/o mild headache and thirst.", + "output": "The patient has had no neurological complaints." + }, + { + "input": "She received a course of betamethasone.", + "output": "Patient has no complaints." + }, + { + "input": "Respiratory distress and post-procedure re-intubation<--pulmonary edema and possible contribution of pan-sensitive klebsiella pna.", + "output": "Patient has a normal chest x ray." + }, + { + "input": "Plan was to get a hida scan to better evaluate gallbladder.", + "output": "There is no concern for cholecystitis." + }, + { + "input": "He had no problems with [**name2 (ni) 7716**] or bladder.", + "output": "He has difficulty with urination." + }, + { + "input": "Osh cth revealed an evolving sdh with an abg of 7.48/22/78 on ra, and she was transferred to [**hospital1 22**] for further evaluation.", + "output": "Ct of the head was normal." + }, + { + "input": "Pulmonary function tests demonstrate restrictive defect.", + "output": "The patient has obstructive lung disease." + }, + { + "input": "In the ed, the patient's initial vitals were hr 67, bp 127/64.", + "output": "The patient is tachycardia." + }, + { + "input": "On the date of transfer to the neonatal intensive care unit he had a cyanotic episode following a bath and was admitted to the neonatal intensive care unit for further monitoring and treatment.", + "output": "The patient was discharged home." + }, + { + "input": "He is on 2l nc at home.", + "output": "The patient does not require oxygen." + }, + { + "input": "History of present illness: the patient is a 70 year-old man with a history of hypertension who presents to his primary care physician with shortness of breath.", + "output": "The patient is having no difficulty breathing." + }, + { + "input": "In the emergency department, patient was initially hypertensive (sbp's 190's), tachypneic and afebrile, thought to be volume overloaded and given 80 iv lasix and started on nitro drip.", + "output": "The patient's vitals were within normal limits in the emergency department." + }, + { + "input": "He denies any hematochezia, brbpr, bloody or coffee ground emesis, abdominal pain, fevers, or chills.", + "output": "The patient has has symptoms of a lower gi bleed." + }, + { + "input": "He has also had a transient ischemic attack from an embolic stroke and paroxysmal atrial fibrillation.", + "output": "Patient has normal heart rhythm." + }, + { + "input": "Gerd 9. h/o ugib 10.", + "output": "No history of gastrointestinal bleeds." + }, + { + "input": "Obstructive sleep apnea.", + "output": "The patient has no history of airway blockage during sleep." + }, + { + "input": "She was started on meropenem in the ed for uti/urosepsis. .", + "output": "The patient does not have an infection." + }, + { + "input": "After extensive discussion and education with the patient's family and healthcare proxy, it was decided that a non- aggressive palliative approach would be adopted in directing care for this patient given the poor prognosis with the interventricular hemorrhage complicated the goal of the patient's admission.", + "output": "Patient has full code status." + }, + { + "input": "76 y/o female hx of alzeihmers disease was in usual state of health until approximately 7pm on [**12-5**] when she complained of severe headache to daugther.", + "output": "Patient has no acute symptoms." + }, + { + "input": "Brief history: 51 year old female with a history of coronary artery disease s/p pci to the rca in [**3404-4-20**] with four taxus drug eluting stents (3x12mm; 3x20mm; 2.5x12mm; 2.5x8mm prox to distal) along with pci to the lcx with a bare metal stent in [**3404-5-20**].", + "output": "No history of heart disease." + }, + { + "input": "She was covered with cefazolin while drain was in place and for 3 doses after drain was removed.", + "output": "She received no antibiotics." + }, + { + "input": "Alzeimers disease htn gerd dm hyperlipidemia headaches", + "output": "The patient has no history of hyperglycemia." + }, + { + "input": "His partner convinced him to seek medical attention giving his lethargy and gi bleeding.", + "output": "Patient is asymptomatic." + }, + { + "input": "Patient was brought to the emergency department for evaluation.", + "output": "Patient needed no medical attention." + }, + { + "input": "Coronary artery disease hypercholesterolemia history of tachycardia hemorrhoids sciatica rhinitis carpal tunnel", + "output": "Patient has normal ldl." + }, + { + "input": "He reports that he didn't tell anyone because he thought it was gerd.", + "output": "The patient has been asymptomatic." + }, + { + "input": "After a discussion with the family, it was decided to proceed with an aortic valve and mitral valve repair.", + "output": "Patient wishes for no further interventions." + }, + { + "input": "She emerged vigorous with apgar of 7 and 8.", + "output": "She had low apgar scores." + }, + { + "input": "1l has been put out.", + "output": "The patient did not put out any fluid over the specified time." + }, + { + "input": "Received 1l ns.", + "output": "The patient received no fluids." + }, + { + "input": "Facial palsy 2 5.", + "output": "No muscle weakness." + }, + { + "input": "No vision/hearing changes.", + "output": "There is loss of vision." + }, + { + "input": "History: baby girl [**known patient lastname **] is the 2.16 kg product of a 34 and 3/7 weeks gestation delivered to a 20-year-old prima gravida.", + "output": "The patient is full term." + }, + { + "input": "Bilateral total hip replacement.", + "output": "Patient has not seen an orthopedist." + }, + { + "input": "Chest x-ray showed no infiltrate or congestive heart failure.", + "output": "Patient has chest infiltrate." + }, + { + "input": "She denied any shortness of breath, chest pain, or lightheadedness.", + "output": "The patient has chest pain." + }, + { + "input": "Iron deficiency anemia 12.", + "output": "The patient has polycythemia." + }, + { + "input": "7) chronic renal insufficiency, baseline creatinine 1.4.", + "output": "The patient has normal kidney function." + }, + { + "input": "He again had an episode of unresponsiveness at 1:30pm after lunch.", + "output": "The patient has been awake and alert the entire stay." + }, + { + "input": "\ufeffthe patient's vomiting episode was witnessed by nursing and immediately after vomiting the patient became tachypneic with respiratory rate in the upper 80s and o2 sat of 73% on 2 liters by nasal cannula.", + "output": "After vomiting, the patient\u2019s vitals were within normal limits." + }, + { + "input": "Antibiotics given: ctx/vanc/levaquin/flagyl.", + "output": "No indication for antibiotic therapy." + }, + { + "input": "She is italian speaking only.", + "output": "The patient speaks english." + }, + { + "input": "Well known abdominal aortic aneurysm 4.5 cm, last ultrasound [**3461-9-9**] with no changes.", + "output": "Normal sized abdominal aorta." + }, + { + "input": "Cxr showed a left massive effusion vs. collapse.", + "output": "Normal respiratory function." + }, + { + "input": "The patient's family does not note any focal weakness.", + "output": "Family notices acute weakness." + }, + { + "input": "He was started on a nitroglycerin drip.", + "output": "He was given sublingual nitroglycerin." + }, + { + "input": "A right transmetatarsal amputation was done on [**2823-1-17**] but did not appear viable.", + "output": "Patient has no infection or tissue ischemia." + }, + { + "input": "After minimal exercise (8 min), there was an inappropriate bp response (hypotensive) and st elevations in v1-3 (<1.5mm - convex in v1, concave in v2-3), and the test was stopped as the patient developed typical anginal symptoms.", + "output": "The patient had a normal stress test." + }, + { + "input": "Seizure disorder; first diagnosed with a seizure during hemodialysis in [**3390-1-15**].", + "output": "Patient has normal cr." + }, + { + "input": "The mother was treated with magnesium sulfate, antibiotics and betamethasone and eventually indomethacin.", + "output": "The pregnancy is uncomplicated." + }, + { + "input": "On arrival to the newborn intensive care unit, the infant with audible stridor and moderate subcostal retractions.", + "output": "The infant was breathing normally." + }, + { + "input": "Prenatal screens - blood type o positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, gbs status unknown.", + "output": "Patient has immunity to hepb." + }, + { + "input": "In the emergency department vitals on arrival hr 160 (a fib), bp 102/54, rr 32, o2sat 92%.", + "output": "The patient has a normal respiratory rate." + }, + { + "input": "Cataract, left eye.", + "output": "No history of ocular disease or abnormality." + }, + { + "input": "The patient's antibiotics regimen was changed to vanc and zosyn, then again to vanc, cefepime and flagyl.", + "output": "The patient has been on no medication." + }, + { + "input": "Pt is a 84 year old russian speaking male with hx cad s/p cabg '[**86**] and re-do '[**00**] (lima --> lad; svg -->om1; svg -->pda), ischemic dcm with ef 25%, severe mr [**first name (titles) **] [**last name (titles) **], and chronic af now s/p atrio-ventricular junctional ablation with biv-pacemaker who now presents for elective admission for ultrafiltration for volume overload secondary to chf.", + "output": "The patient has a normal chest x ray." + }, + { + "input": "Monday, wednesday and friday via right arteriovenous fistula.", + "output": "The patient received peritoneal dialysis." + }, + { + "input": "Also, hct on admission 21 from 25.", + "output": "Hematocrit levels were within normal limits." + }, + { + "input": "The tube was said to meet some restriction at the level of the nares but passed easily distally.", + "output": "The patient has no lines or tubes." + }, + { + "input": "Serum glucose was 526 with na 138, k 4.0, cl 95, co2 28, bun 15, cr 1.13--ag 15.", + "output": "The patient has a normal blood sugar." + }, + { + "input": "Seizure disorder: details unclear--pt first reported being on dilantin for ~1 year, then reported being on it only 6 weeks.", + "output": "Patient has not taken medications previously." + }, + { + "input": "A 50-count pill bottle of tylenol pm was found with only 20 pills remaining.", + "output": "Tylenol pills were all accounted for." + }, + { + "input": "Her mucous membranes were moist and pink.", + "output": "The patient has dry membranes." + }, + { + "input": "Prosthetic mitral valve regurgitation with paravalvular leak, history of rheumatic heart disease - s/p mitral valve replacements [**3026**], [**3029**], [**3032**](bjork shiley valve), history of complete heart block - s/p permanent pacemaker implantation([**company 4**])[**3041**] and [**3043**], diaslotic congestive heart failure, paroxsymal atrial fibrillation, history of pasteurella bacteremia secondary to cat scratch, chronic obstructive pulmonary disease, history of gi bleed [**3041**] and [**3053**] secondary to gastric ulcer/gastritis", + "output": "The patient has a normal hart." + }, + { + "input": "Cath done on the [**12-6**] showed 70% left main with a totally occluded rca, a 60% lad lesion and diffuse circumflex disease.", + "output": "The patient has no cardiac disease." + }, + { + "input": "At 1:30pm, pt having cp, tachycardic in 120-130's, and was more tachypneic, bp 55/39.", + "output": "Patient has normal sinus rhythm." + }, + { + "input": "No chest pain, palpitations, shortness of breath, cough, abdominal pain, nausea, vomiting, diarrhea, or constipation.", + "output": "Patient has dyspnea." + }, + { + "input": "During her work-up there she received an x-ray which confirmed a compression fracture at the l3 level.", + "output": "The patient has no fractures." + }, + { + "input": "History: colon cancer, now with suspicious hepatic masses on mri, for biopsy.", + "output": "Patient has normal mri imaging exam." + }, + { + "input": "History of present illness: this is a 77-year-old right handed man with a history of hypertension, two prior seizures, last in [**3166**], had atrial fibrillation in sinus since [**8-28**].", + "output": "The patient has normal heart rhythm." + }, + { + "input": "A hypercoagulability w/u is pending at the osh.", + "output": "Patient has normal ptt/pt/inr." + }, + { + "input": "Cxr showed bibasilar atelectasis vs pna.", + "output": "Chest x-ray showed no abnormalities." + }, + { + "input": "66 y/o female with pmh significant for rca stent in [**3364**], cardiomyopathy, htn, and hyperlipidemia admitted to the ccu following cath complicated by hypotension and probable rv infarct.", + "output": "The patient is hypertensive." + }, + { + "input": "She received 1l of ns at [**hospital1 **]-[**location (un) 614**] without significant improvement in her bp so she was transferred to [**hospital1 18**] for further management. .", + "output": "Patient has normal vital signs." + }, + { + "input": "Over 2 weeks, he received 14 u rbc, hct up to 30s but then drifted down.", + "output": "The patient has not received a blood transfusion." + }, + { + "input": "Her vs prior to transfer were hr 122 bpm, bp 167/114 mmhg, rr 25 x', spo2 95% ra.", + "output": "The patient had a normal heart rate." + }, + { + "input": "Heparin gtt was discontinued.", + "output": "Heparin dosage was increased." + }, + { + "input": "Ros negative for odynophagia, cough, sob, abd pain, tenderness over the kidney, diarrhea, dysuria, hematuria.", + "output": "Acute pyelonephritis." + }, + { + "input": "Pcp: [**name initial (nameis) 8756**] ([**hospital3 808**] medical) ett mibi ([**2611-6-28**]): small reversible defect of infer basal wall.", + "output": "The patient has a normal heart." + }, + { + "input": "Stage 4 ckd, creat ~3.0 10.", + "output": "The patient has a normal creatinine." + }, + { + "input": "The mb and troponin fractions were unavailable at the time of this dictation.", + "output": "The patient did not have mb or troponin samples taken." + }, + { + "input": "She underwent her cardiac surgery and then underwent a follow-up chest ct scan to ensure continued presence of the lesion.", + "output": "The patient has no surgical history." + }, + { + "input": "[**known patient lastname 11328**] is a 73-year-old man with known bladder cancer diagnosed on [**3437-7-20**].", + "output": "Patient has not had a biopsy." + }, + { + "input": "He fell onto the right side of his chest against a stone landing.", + "output": "No history of trauma." + }, + { + "input": "In the ed weaned of pressors, breathing over vent, on amio gtt.", + "output": "Patient has normal vitals." + }, + { + "input": "[**known patient lastname 6848**] has a long history of back and leg pain due to her scoliosis, stenosis and spondylosis.", + "output": "The patient has a normal back." + }, + { + "input": "On the morning of admission she felt increasing dizzy and unsteady and was seen by her [**hospital6 3717**] who found the patient to be presyncopal with low blood pressure.", + "output": "Patient has normal vital signs." + }, + { + "input": "Resection of jejunum and ileum.", + "output": "The patient had a never had bowel surgery." + }, + { + "input": "History of depression 9.", + "output": "Patient has normal exam." + }, + { + "input": "The patient has since been given protamine 50mg iv, etomidate 8cc at 2:20 and succinylcholine 5cc at 2:22pm.", + "output": "Patient has not been paralyzed." + }, + { + "input": "The patient had an uneventful pylorus preserving pancreaticoduodenectomy with open cholecystectomy and incidental meckel's diverticulectomy.", + "output": "The patient had a laparoscopic cholecystectomy." + }, + { + "input": "According to his wife, he has been more sedated since discharge from the hospital but otherwise has been doing relatively well at home.", + "output": "Patient has a normal mmse." + }, + { + "input": "She received betamethasone times one, developed cramping, was 4 cm on exam, and was started on magnesium sulfate.", + "output": "She received no steroids." + }, + { + "input": "Status post cataract surgery.", + "output": "No history of cataracts." + }, + { + "input": "At osh, ecg showed anterior q waves (new from [**2660**]), rbbb.", + "output": "The patient has normal myocardial perfusion." + }, + { + "input": "K 2.9, given k po and in d51/2.", + "output": "The patient has a normal potassium." + }, + { + "input": "Given lr for hypotension.", + "output": "The patient is hypervolemic." + }, + { + "input": "She felt very tired and fatigued since then and was slightly dizzy.", + "output": "The patient has been fulling full of energy." + }, + { + "input": "Her initial abg on ac fio2 1.0 was 7.19/80/405.", + "output": "The patient has a normal blood ph." + }, + { + "input": "1)atrial fibrillation: diagnosed 3 years ago, cardioverted, placed on amiodarone for 1 year and then d/c'ed; cardioverted in [**9-18**] to nsr, restarted on amio [**12-19**] when she was found to be in afib.", + "output": "Patient has normal sinus rhythm." + }, + { + "input": "She denies any vomiting, nausea or hematemasis.", + "output": "The patient is vomiting." + }, + { + "input": "Pt has had severe fatigue, sore throat, diffuse myalgias.", + "output": "The patient has no muscle aches." + }, + { + "input": "Pulmonary htn - cathed [**6-/2765**], mean pa pressure 63 mmhg.", + "output": "The patient has normal pulmonary arterial pressures." + }, + { + "input": "Pt was brought to [**hospital1 22**] ed and found to have a gcs of 15.", + "output": "The patient is in a coma." + }, + { + "input": "2 weeks prior to admission, patient had 2 falls, daughter spoke with witness of fall who reported patient \"blacked out\".", + "output": "Patient has negative ros." + }, + { + "input": "On the day of admission, patient was noted by family to have altered mental status and was unable to answer questions appropriately.", + "output": "The patient was alert and oriented x 3." + }, + { + "input": "Has been taking po, but \"not as much as usual\" and he reports feeling dehydrated. .", + "output": "The patient has been drinking more wanter than normal." + }, + { + "input": "Ucx and scx grew e.coli, resistant to levofloxacin.", + "output": "The patient had does not have a urinary tract infection." + }, + { + "input": "Started on synthroid on the day of admission.", + "output": "The patient has no thyroid disorder." + }, + { + "input": "Congestive heart failure, [**state 1118**] heart association class ii.", + "output": "Normal cardiac function." + }, + { + "input": "He had splenomegaly.", + "output": "The patient has a normal spleen." + }, + { + "input": "This was thought to be secondary to the fresh frozen plasma which was given to her at [**hospital6 2923**].", + "output": "The patient has never received blood products." + }, + { + "input": "She was transfused an additional unit of blood and transferred to the [**hospital1 22**] micu for possible angiography.", + "output": "She received no blood products." + }, + { + "input": "[**known patient lastname 10193**] daughter visited the patient to provide her with evening medications.", + "output": "The patient does not take medications." + }, + { + "input": "However, at 6:00 pm he was noted to be pale and diaphoretic with a temperature of 102.8 and bp of 100/50.", + "output": "The patient is afebrile." + }, + { + "input": "Received lovenox x 1 and plavix 600mg x 1.", + "output": "The patient has normal platelet function." + }, + { + "input": "Came to ed, started on decadron and mannitol.", + "output": "The patient has not received medication." + }, + { + "input": "She was transferred to [**hospital1 22**] for further intervention.", + "output": "She was discharged home." + }, + { + "input": "It was felt the more likely etiology as a viral process although no specific etiology has been found.", + "output": "Symptoms were thought to be due to a bacterial process." + }, + { + "input": "She has otherwise been feeling fine and has not had any fevers, chills, nausea, or vomiting.", + "output": "Patient has many acute medical conditions." + }, + { + "input": "The patient denied associated symptoms of shortness of breath, lightheadedness, palpitations, nausea, vomiting, as well as pleuritic pain.", + "output": "The patient complains of pain." + }, + { + "input": "He was then found unresponsive in bed by his family and ems was called.", + "output": "He was alert and oriented when ems was called." + }, + { + "input": "On arrival to [**hospital1 22**], she was intubated and not seizing.", + "output": "Patient is on room air." + }, + { + "input": "Pe - [**1-5**] rll segmental 14.", + "output": "The patient does not have a thrombus." + }, + { + "input": "He developed chest pain in the clinical center lobby and so a code blue was called.", + "output": "Patient has no angina." + }, + { + "input": "The patient was discharged to [**hospital3 **] where she recently finished a fourteen day course of levaquin.", + "output": "She has no recent antibiotic use." + }, + { + "input": "H/o mult blood transfusions for ugib after ercp with sphincterotomy a few years ago.", + "output": "Patient has no history of gi bleed." + }, + { + "input": "Poorly controlled with past dka.", + "output": "Diabetes is well-controlled." + }, + { + "input": "The patient noted that she had shortness of breath at home after trying to take her medications.", + "output": "The patient had no difficulty breathing." + }, + { + "input": "\ufeffhe was lying on the floor, and the right side of his face was obviously drooping and he was drooling.", + "output": "He was found sitting on the bed, in no acute distress." + }, + { + "input": "She was advised to have a carotid endarterectomy.", + "output": "She has no carotid stenosis." + }, + { + "input": "In the [**hospital1 891**] emergency department, he was started on nitroglycerin drip, lovenox, lopressor, aspirin and aggrestat drip.", + "output": "The patient is not being given anticoagulation." + }, + { + "input": "The patient's urinalysis remained negative.", + "output": "The patient has urosepsis." + }, + { + "input": "Patient developed one episode of black emesis last night, followed by six more episodes since then.", + "output": "The patient denies vomiting." + }, + { + "input": "The medium sized septal vessel had no flow limiting disease.", + "output": "The patient has an obstructed septal branch of the coronary artery." + }, + { + "input": "Chronic renal failure.", + "output": "Patient has normal cr." + }, + { + "input": "Chronic renal failure.", + "output": "The patient has normal renal function." + }, + { + "input": "The patient was originally admitted on [**3021-11-28**] to the neurology service after presenting with left hand numbness, fevers, and chills.", + "output": "The patient has no neurologic symptoms." + }, + { + "input": "He was started on dopamine infusion for his blood pressure, given solu-medrol times one.", + "output": "Patient has normal vital signs." + }, + { + "input": "He was given vancomycin 1 gm iv x1 and transferred to [**location (un) **] ed where bp 88/57.", + "output": "Patient has normal vital signs." + }, + { + "input": "Status post left hip replacement.", + "output": "The patient has normal hips bilaterally." + }, + { + "input": "Colonoscopy in [**2726**] revealed extensive sigmoid diverticulitis.", + "output": "The patient has a normal colon." + }, + { + "input": "63 year old male has been experiencing symptoms of shortness of breath and bilateral leg heaviness while jogging and walking for the last few months.", + "output": "Patient has normal exam." + }, + { + "input": "Subdural hematoma hypertension hypercholesterolemia essential thrombocytopenia s/p placement of gj tube infected gj tube insertion site h/o c diff infection (diagnosed in [**month (only) **] admit)", + "output": "The patient has no past medical history." + }, + { + "input": "Hyperkeratotic lesions plantar aspects feet 7.", + "output": "The patient has normal skin on the feet." + }, + { + "input": "Patient had a recent hospitalization for copd exacerbation and was then sent to a rehab facility for rehabilitation.", + "output": "The patient has no lung disease." + }, + { + "input": "She says this pain is different from the pain that she had with her [** location **]us mi.", + "output": "She denies pain." + }, + { + "input": "Upon presentation to the ed, she was found to be hemodynamically stable and not tachycardic, however, nasogastric lavage revealed bright red blood suggesting active upper gi bleed.", + "output": "Patient has no signs of hemorrhage." + }, + { + "input": "Etiology of this new onset afib was thought to be in the setting of volume resuscitation and acute illness.", + "output": "The patient has normal rhythm." + }, + { + "input": "12) congestive heart failure with an ejection fraction of 55 percent and normal wall motion.", + "output": "The patient has a low ejection fraction." + }, + { + "input": "She was re-admitted to the ccu post cath.", + "output": "No surgical history." + }, + { + "input": "He was also hyperventilating at the time.", + "output": "The patient is apneic." + }, + { + "input": "A transthoracic enlargement with mild symmetric left ventricular hypertrophy with a left ventricular ejection fraction of greater than 55%.", + "output": "Ejection fraction was low." + }, + { + "input": "Chf w/ ef of 40% on tee in [**2820**], 1+ ar, 2+mr 3.", + "output": "Patient has normal lv function." + }, + { + "input": "Colon polyps, status post colonoscopy in [**2741-12-24**] with polyps found to be precancerous.", + "output": "Patient has negative colonoscopy." + }, + { + "input": "Htn gerd anemia prior elev.", + "output": "The patient has polycythemia." + }, + { + "input": "The patient understood because of the size of her uterus which on 23/05 ultrasound was noted to be 15.0 x 9.5 x 18.0 cm, she knew this would be a challenging multiple myomectomy involving a possible significant blood loss.", + "output": "The patient has a normal sized uterus." + }, + { + "input": "The patient had also noticed increased fatigue during sexual intercourse.", + "output": "The patient does not have sexual intercourse." + }, + { + "input": "Boyfriend left the pt at 6am this morning.", + "output": "The boyfriend is currently with the patient." + }, + { + "input": "Today he decided he wanted to live and therefore called ems to bring him to [**hospital1 22**].", + "output": "The patient is unable to make phone calls." + }, + { + "input": "She was referred to dr. [**last name (stitle) 759**] and underwent stress testing and cardiac cta as below.", + "output": "Patient has no symptoms." + }, + { + "input": "She was sent home with ten days of levofloxacin 500mg po daily for the pneumonia.", + "output": "She had no respiratory symptoms." + }, + { + "input": "[**known patient lastname 15929**] is a 60 year old male who during preoperative evaluation for coronary revascularization surgery was found to have severe bilateral carotid stenosis.", + "output": "Patient has normal carotid velocities." + }, + { + "input": "Cardiac catheterization showed an ejection fraction of greater than 70% with an aortic valve area of 0.5 cm2, no significant coronary artery disease, wedge pressure of 17, and left ventricular end-diastolic pressure of 20.", + "output": "Cardiac catheterization showed coronary artery disease." + }, + { + "input": "Her heart rate on the drip was noted to be high in the 150s, and she was treated with iv diltiazem and lopressor to help slow that down.", + "output": "Patient has normal vital signs." + }, + { + "input": "He underwent a turbt for hematuria that ultimately revealed a grade [**2-11**] muscle invasive bladder carcinoma.", + "output": "The patient had a benign bladder mass." + }, + { + "input": "The patient reports that she has had intermittent bleeding oozing from her nose over the past several days as well as gum bleeding when she is brushing her teeth for the same period of time notes increased frequency of stools of loose consistency described as chocolate syrup mixed with blood clots.", + "output": "The patient denies epistaxis." + }, + { + "input": "Rupture of membranes occurred 3.5 hours prior to delivery yielding clear amniotic fluid.", + "output": "The patient has not ruptured membranes." + }, + { + "input": "An exploratory laparotomy was performed which was negative.", + "output": "Surgery revealed mass." + }, + { + "input": "Her baseline status is that she is not indepent of her adls, but can wash her face on her own and last week walked 50 feet wtih two person assist for the first time in quite a while.", + "output": "She can walk independently." + }, + { + "input": "[**known patient lastname 321**] was unable to urinate after his foley catheter was discontinued.", + "output": "The patient has a a normal functioning bladder." + }, + { + "input": "Positive ett on [**3295-1-3**] showed an ejection fraction of 62% with no defects.", + "output": "Reduced ejection fraction." + }, + { + "input": "He does not make any urine at baseline.", + "output": "The patient has normal renal function." + }, + { + "input": "Pmh: hypertension, hyperlipidemia, myocardial infarction [**2703**], hypothyroid, scleroderma, uterine cancer s/p hysterectomy [**2701**], ischemic cardiomyopathy, s/p parathyroid tumor removal", + "output": "The patient has never head surgery." + }, + { + "input": "She was in her usoh until [**6-2**]; on this day, she states that she went out walking and became extremely fatigued, more than her baseline.", + "output": "The patient has normal energy." + }, + { + "input": "He presented to the [**hospital6 17090**] ed on [**8-14**] with altered mental status from his nursing facility.", + "output": "The patient is at baseline mental status." + }, + { + "input": "He lost 10 pounds in the [** location **]us few months, and his a[** location **]e decreased, but no fever or night sweats. .", + "output": "The patient has weight gain." + }, + { + "input": "His exam was benign aside from a nose bleed but cta showed small subsegmental pes.", + "output": "The patient had a negative cta." + }, + { + "input": "Also the prenatal course was notable for oligohydramnios with an afi of 6.5.", + "output": "Patient has volume of normal amniotic fluid." + }, + { + "input": "He does not remember having any chest pain, palpitations, nausea, or sob.", + "output": "He has chest pain." + }, + { + "input": "In the ed, she was initially scheduled for an mri.", + "output": "The patient has no acute findings." + }, + { + "input": "Amniotic fluid was clear.", + "output": "Patient has chorioamnitis." + }, + { + "input": "He had had problems walking and new episodes of shortness of breath.", + "output": "The patient has no difficulty walking." + }, + { + "input": "The mother was on magnesium sulfate at the time of delivery.", + "output": "The patient is a g0p0." + }, + { + "input": "Of note her ms waxed and waned during that admission with no evidence of seizure activity corresponding, negative lp and mri.", + "output": "The patient has an abnormal mri." + }, + { + "input": "He denies any nausea/vomiting/diaphoresis although may have been a little sweaty on saturday during that episode.", + "output": "The patient has been nauseous and vomiting." + }, + { + "input": "In summary, this is 72 yo m with severe copd admitted with sob and tremors.", + "output": "Patient has no tremors." + }, + { + "input": "She developed spontaneous labor and had a vaginal delivery.", + "output": "The delivery was via c section." + }, + { + "input": "History of present illness: the patient was brought to the emergency room from [**hospital1 **], status post syncopal episode while being turned in bed that lasted about 30 seconds.", + "output": "The patient has no history of syncope." + }, + { + "input": "He underwent excision of a left femoral pseudoaneurysm.", + "output": "The patient has normal femoral arterial lumen." + }, + { + "input": "Pt was an 89 yo male with htn, hyperlipidemia, recent penile surgery for penile cancer who presented to osh with confusion, chest pain and shortness of breath.", + "output": "Patient has normal blood pressure." + }, + { + "input": "Vs in ed t97.7, hr 75, bp 91/68 rr22 o2 99% 2l guiac negative in ed given asa 325mg po x1, zofran 4mg iv x2, 600mg mucomyst, started on dopamine 12mcg/kg/min, lasix 80mg iv.", + "output": "The patient is hypertensive." + }, + { + "input": "He was diffusely immunoreactive for cd20 and co-expressed bcl-2 and bcl-6.", + "output": "The patient has a normal blood smear." + }, + { + "input": "An echocardiogram done [** location **]usly in [**3161-10-21**] showed an ef of 20% with severe ventricular global hypokinesis.", + "output": "Normal cardiac function." + }, + { + "input": "Alzheimer's dementia r eye blindness chronic back spasms s/p knee surgery", + "output": "The patient sees 20/20 out of both eyes." + }, + { + "input": "She was discharged to rehab but returned on [**3430-5-27**] with respiratory distress and sepsis.", + "output": "The patient is bradycardic." + }, + { + "input": "He was transferred to the [**hospital1 22**] ed where he was tachycardic to 110, hypotensive to 80-90s systolic.", + "output": "His vitals were normal." + }, + { + "input": "Chronic bronchitis/copd 13.", + "output": "No respiratory disease." + }, + { + "input": "This is an 81 year-old male with a history of cardiomyopathy w/ ef 20% and afib on coumadin who presented to [**hospital 2530**] hospital with gallstone pancreatitis/acute calculous cholecystitis now s/p cholecystectomy w/ retained cbd stone being transferred to [**hospital1 22**] for repeat ercp.", + "output": "The patient has a normal gallbladder." + }, + { + "input": "The patient was admitted on the 5th for a cervical fusion.", + "output": "The patient was admitted on the 5th for thoracic fusion." + }, + { + "input": "Had associated shortness of breath and flushing.", + "output": "No difficulty breathing." + }, + { + "input": "The patient was transferred to surgery for removal of the ecmo cannulas.", + "output": "Patient has not had a surgical intervention." + }, + { + "input": "He was transferred uneventfully to the newborn intensive care unit.", + "output": "The patient had an uneventful birth." + }, + { + "input": "She reports approximately 1 month of memory delay, feeling intermittently dizzy and nauseated.", + "output": "She denies changes in memory." + }, + { + "input": "History of present illness: the patient is a 71 year old man with a history of a silent myocardial infarction evident on ekg.", + "output": "Patient has abnormal cardiac cath." + }, + { + "input": "Past medical history: she has a negative past medical history.", + "output": "Patient has a chronic condition." + }, + { + "input": "49 year old male with cll dx [**2595**], followed by dr. [**first name (stitle) **], s/p matched sibling donor allo-[**first name (stitle) 6600**] in [**2-14**], and h/o htn, cm with ef 20% (echo in [**8-18**] with ef 50-55% and in [**9-17**] with ef 20-25%).", + "output": "Patient has no malignancy." + }, + { + "input": "Unlikely a cns infection so antibiotics d/c'd.", + "output": "The patient continues to receive antibiotics." + }, + { + "input": "An empyema tube was placed to drain the subsequent empyema.", + "output": "The patient has uncomplicated pneumonia." + }, + { + "input": "Tx from osh for possible stemi, given ste in inferior leads, std in lat leads.", + "output": "The patient had a normal ekg." + }, + { + "input": "But pain was [**11-2**] last pm, so pt went to [**location **]. + jaundice, dark yellow x 1 day, ttp ruq reported. +chills. +vomiting. +food aversion.", + "output": "The patient denies pain." + }, + { + "input": "The patient was asked by her primary care physician [**last name (namepattern4) **] [**2530-9-13**] to come to the emergency room, but did not present until [**2530-9-14**].", + "output": "The patient was asked by her pcp to make an outpatient appointment." + }, + { + "input": "Evaluation of this hearing loss by his primary care physician led to an mri, which revealed a right sided 1.6 cm acoustic neuroma.", + "output": "The patient has no abnormal brain mass." + }, + { + "input": "Right sided heart failure with severe pulmonary hypertension.", + "output": "The patient has a normal heart." + }, + { + "input": "Currently he feels sob and complains of right sided pain that radiates to his back with every inspiration.", + "output": "Patient has no pain." + }, + { + "input": "However, he presented to the ed on [**3053-4-6**] with hematuria and was found to have inr of 9 so coumadin was stopped by his pcp.", + "output": "The patient has a normal prothrombin time." + }, + { + "input": "Cad s/p 3v cabg in [**3305**] s/p pci [**3320**] [**11-10**] stent to vg to rca s/p nstemi [**1-11**], s/p 2.5mm des to vg to rca hypertension borderline diabetes, diet controlled hyperlipidemia right carpal tunnel syndrome two basal cell cancers removed in situ bladder cancer s/p ablation obstructive sleep apnea-does not use cpap dyslipidemia tonsillectomy glaucoma", + "output": "The patient has no medical history." + }, + { + "input": "She received two doses of betamethasone due to persistence of variables in twin b with decelerations.", + "output": "Patient has not take iv medications." + }, + { + "input": "This pregnancy was complicated by premature preterm rupture of membranes on the day prior to delivery.", + "output": "The pregnancy was full term." + }, + { + "input": "Pt was admitted to the floor with vitals on transfer t 97.6, p 100, bp 78/50 (baseline in ues 60s-70s), rr 16, o2sat 95%ra .", + "output": "The patient is in the icu." + }, + { + "input": "Peptic ulcer disease 7.", + "output": "The disease caused by under secretion of acid." + }, + { + "input": "No visual or hearing changes, problems swallowing, hearing problems, or other sx except as above.", + "output": "There are new visual field defects." + }, + { + "input": "Apgars were nine at one minute and nine at five minutes.", + "output": "Apgar scores were low." + }, + { + "input": "47 yo m with etoh abuse c/b dilated cardiomyopathy (ef 49% 9/07), hcv, h/o lung aspergillosis c/b cavitary lesion who p/w etoh withdrawal and chronic reproducible chest pain.", + "output": "Patient has normal lfts." + }, + { + "input": "Prenatal screen: blood type b positive, antibody negative, rpr nonreactive, rubella immune.", + "output": "Patient has blood type a+." + }, + { + "input": "[**known patient lastname 5341**] is a 55 yo w with pmh of esrd on hd, pvd, dm, renal cell ca, presents with rle pain x 1 week, n/v and abdominal tenderness.", + "output": "The patient has a normal creatinine." + }, + { + "input": "The patient reports no urine output over the past eighteen hours.", + "output": "Patient is hypervolemic." + }, + { + "input": "Currently controlled on po lasix, in normal sinus rythm .", + "output": "The patient is not prescribed medication." + }, + { + "input": "She was treated with iv lasix and apparently improved.", + "output": "The patient is hypotensive." + }, + { + "input": "Neurosurgery believed that the hematoma would resolve as long as her platelet count remained above 100,000.", + "output": "Patient has thrombocytopenia." + }, + { + "input": "On transfer, patient reports no fever or chills, headache, chest pain, cough, shortness of breath, abdominal pain, nausea, or vomitting.", + "output": "The patient has difficulty breathing." + }, + { + "input": "On arrival to [**name (ni) 2**], pt was comfortable, denying any cp/sob/abd pain.", + "output": "The patient has chest pain." + }, + { + "input": "Initially seen at outside facility and transferred to [**hospital6 2138**] directly to the operating room via [**location (un) 211**] [**location (un) **].", + "output": "The patient has is not to have surgery." + }, + { + "input": "She also noted some diarrhea as well.", + "output": "Her bowel movements were normal." + }, + { + "input": "History of present illness: the patient is a 45 year-old male who is a welder from [**location (un) 1912**] who was at work this morning when he had complaints of sudden severe headache and witnessed seizure with loss of consciousness.", + "output": "The patient had no loss oc consciousness." + }, + { + "input": "At [**hospital6 5282**], electrocardiograms there showed 2-mm st elevations and peaked t waves in the inferior leads, t wave inversions, and st depressions, and small q waves in i and avl, peaked t waves in v5 and v6, rsr prime in v1 to v3 suggestive of posterior involvement.", + "output": "Ekg was normal." + }, + { + "input": "The micu service assumed care for [**last name (un) 27934**] [**known patient lastname 27935**], given his situation.", + "output": "Patient has no medical problems." + }, + { + "input": "The infant emerged vigorous.", + "output": "The patient is non responsive." + }, + { + "input": "This was followed by nausea and vomiting times three after taking an iron supplement.", + "output": "Patient denies nausea." + }, + { + "input": "55 yo f w/ hx hodgkin's s/p xrt in [**2849**] p/w severe abd pain x 3 weeks, worse over past week.", + "output": "Patient has no prior treatment for cancer." + }, + { + "input": "Sleep apnea, using bipap at night.", + "output": "The patient does not stop breathing at night." + }, + { + "input": "Patient was transferred to the icu and was seen by neurosurgery for subdural hematoma.", + "output": "Patient has no findings on head ct." + }, + { + "input": "History of pancreatitis.", + "output": "No history of elevated amylase or lipase." + }, + { + "input": "Mother is a 42-year-old g2, p0 now 2 woman with prenatal screens o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen ob history: [** location **]us stillbirth at term delivered at [**hospital1 1205**].", + "output": "The patient has syphilis." + }, + { + "input": "This pregnancy was complicated by growth discordance noted approximately one week prior to delivery with maternal admission on [**2676-1-6**] with hypertension and proteinuria.", + "output": "The pregancy was uncomplicated." + }, + { + "input": "Delivery occurred at 25 weeks by cesarean section due to worsening maternal hypertension.", + "output": "Delivery occurred at full term." + }, + { + "input": "Cath performed at [**hospital3 **] prior to admission showed severe mitral regurgitation.", + "output": "Patient has normal echo." + }, + { + "input": "No pleuritic pain.", + "output": "There is pleuritic pain." + }, + { + "input": "The patient also mentioned that he had he had no emesis once he got to the emergency room and he states this never happened to him before.", + "output": "He had emesis in the emergency room." + }, + { + "input": "Because of the results of his right heart catheterization, he was transferred to the coronary care unit for swan-[**location (un) 1023**] therapy.", + "output": "The patient does not have iv access." + }, + { + "input": "This pregnancy was complicated by twins with twin b known to have [**location (un) **] syndrome (anhydramnios, bilateral multi- cystic dysplastic kidneys, short femurs, severe iugr).", + "output": "The pregnancy was uncomplicated." + }, + { + "input": "Patient underwent surgical debridement of the empyema on [**3210-11-27**], where 2 ribs were resected to obtain exposure to the infection (s/p modified eloesser flap [**11-28**]) - cultures grew rare group b beta strep.", + "output": "Patient has not had surgery." + }, + { + "input": "Cardiovascular status was stable throughout his newborn intensive care unit course.", + "output": "The patient has no medical issues." + }, + { + "input": "Restrictive lung disease with mediastinal radiation fibrosis.", + "output": "Normal respiratory function." + }, + { + "input": "Per their records, the vancomycin was for empiric coverage of line infection.", + "output": "The patient has no history of central line." + }, + { + "input": "Her t tube was manually removed, and a cuffed 8.0 tube was inserted in its place.", + "output": "The patient has no surgical history." + }, + { + "input": "Patient was given 4l of ns, but pressures did not improve.", + "output": "Patient has normal vital signs." + }, + { + "input": "In the ed, she received 2 l ns, followed by d5 1/2 ns w/ 2 amps hco3 @ 200 cc/hr with improvement in sbp to 110s-120s.", + "output": "She was hypertensive in the emergency department." + }, + { + "input": "Ett on [**3-14**] at outside hospital showed lateral fixed defect and anterolateral ischemia.", + "output": "The patient has a normal heart." + }, + { + "input": "She responded well to furosemide.", + "output": "She is unable to tolerate diuretics." + }, + { + "input": "Leg surgery secondary to a motor vehicle accident as a child.", + "output": "Patient has no history of surgery." + }, + { + "input": "Low back pain.", + "output": "Patient has no complaints." + }, + { + "input": "A subsequent abdominal cat scan was without evidence of retroperitoneal bleed.", + "output": "The patient has a retroperitonal bleed." + }, + { + "input": "She was treated with intravenous steroids and discharged to rehabilitation on intravenous solu-medrol.", + "output": "Patient has normal pfts." + }, + { + "input": "Patient is a 53 yo rh man with poorly controlled htn who was found by his daughter at 5:30pm today confused with slurred speech and right sided weakness.", + "output": "Patient has acute mi." + }, + { + "input": "Postoperatively the patient developed difficulty in eating secondary to post prandial nausea and vomiting and dumping syndrome as well as cholangitis.", + "output": "The patient has never had surgery." + }, + { + "input": "On the third of [**3239-7-17**], she was seen by her cardiologist who increased her sotalol dose to 80 mg three times a day.", + "output": "Patient takes no medications." + }, + { + "input": "He was thought by the medical intensive care unit team to be most likely dehydrated and in rapid atrial fibrillation; his hypotension and atrial fibrillation were not thought to be secondary to sepsis and cultures throughout his hospital course afforded this assumption.", + "output": "The patient was hypervolemic." + }, + { + "input": "Also had blood tinged emesis initially, but emesis is now clear.", + "output": "The patient has never had bloody emesis." + }, + { + "input": "His pco2 is normally in the 60s (per omr) but were worse on admission (103).", + "output": "Pco2 is low upon admission." + }, + { + "input": "Head ct, ctap, cxr were done.", + "output": "The patient has no imaging." + }, + { + "input": "Chronic renal insufficiency.", + "output": "Patient has normal cr." + }, + { + "input": "Chronic renal insufficiency.", + "output": "Normal kidney function." + }, + { + "input": "In the ed, was afebrile with an initial bp of 161/83.", + "output": "The patient is hypotensive." + }, + { + "input": "The nursing home staff felt she was more lethargic than usual.", + "output": "The patient is at baseline mental status." + }, + { + "input": "Denies asa use but has been taking a natural blood thinning supplement called nattokinase for the last 4 years.", + "output": "The patient has been taking aspirin." + }, + { + "input": "Reports having difficulty taking full breaths after walking for a few feet.", + "output": "The patient denies shortness of breath." + }, + { + "input": "Tte [**2816-2-25**] demonstrated symmetric lvh with an excellent lvef (78%) and normal regional wall motion but a resting lvot gradient of 23mmhg that increased to >100mmhg with valsalva and a gradient of 106mmhg of her outflow tract.", + "output": "The patient has a normal aortic valve." + }, + { + "input": "78f htn, hypoth, diverticulitis s/p partial collectomy (for diverticulitis) presents with llq pain.", + "output": "No surgical history." + }, + { + "input": "He was admitted to the micu for dehydration secondary to presumed c. difficile enterocolitis.", + "output": "Patient has no signs of infection." + }, + { + "input": "She denies recent fevers, chills or rigors.", + "output": "The patient has all the normal symptoms of a fever." + }, + { + "input": "Was recently discharged [**3160-9-6**] on lovenox and reportedly was doing fine initially.", + "output": "Patient is on coumadin." + }, + { + "input": "Was stable on lithium for several years, has also been treated with risperdal. (but pt. has been resistant and often non-compliant to increased doses of risperdal, goal had been 2-4mg po bid).", + "output": "The patient has no history of mood stabilizing or antipsychotic medication." + }, + { + "input": "A sputum culture obtained after readmission in [**7-1**] for dyspnea and hemoptysis showed mycobacteria gordonae (a known contaminant and not likely to cause disease).", + "output": "Patient has no trouble breathing." + }, + { + "input": "History of right upper extremity deep venous thrombosis.", + "output": "No history of blood clots." + }, + { + "input": "Diffuse crackles throught; no lower extremity edema,benign ab exam.", + "output": "Abdominal exam was significant for pain." + }, + { + "input": "History: aspiration pneumonia, status post extubation, evaluate for change.", + "output": "The patient\u2019s lungs are clear." + }, + { + "input": "Next was in [**3074**] p/w slurred speech.", + "output": "The patient has not had slurred speech." + }, + { + "input": "The hospital course was unremarkable except for a low hematocrit of 26.1 for which he was transfused.", + "output": "Patient has normal hgb levels." + }, + { + "input": "The patient while in the hospital had an episode of hemoptysis and was transferred to [**hospital1 58**].", + "output": "The patient is in their usual state of health." + }, + { + "input": "Discharged home on [**2948-2-22**].", + "output": "Patient has worsening symptoms." + }, + { + "input": "Pt initially required a nitro drip which was only used transiently, since her bp normalized with propofol sedation.", + "output": "Patient has normal vital signs." + }, + { + "input": "He was found to have multivessel disease upon catheterization.", + "output": "Patient does not require a cabg." + }, + { + "input": "The uac and uvc were placed at [**hospital **] hospital.", + "output": "Patient has no catheters in place." + }, + { + "input": "He has had low back pain chronically requiring narcotics to treat.", + "output": "Patient denies pain." + }, + { + "input": "Her ususal seizures are facial twitching with occasional involvement of the arm.", + "output": "Patient has no symptoms." + }, + { + "input": "Pregnancy complicated by ivf dichorionic, diamniotic twin gestation, and was also notable for advanced maternal age and gestational diabetes which was diet controlled.", + "output": "Patient has normal risk for pregnancy." + }, + { + "input": "[**known patient lastname **] is a 57 year old white male with a past medical history significant for hiv diagnosed in [**2951**] with a cd-4 count of 340 with a viral load of 364,000, in intermittent haart therapy with non-compliance in the past two months, childhood epilepsy, qestionable chronic obstructive pulmonary disease and dysphagia secondary to hypertrophied cricopharyngeal muscle, who was transferred to [**hospital1 509**] from [**hospital6 5628**] with anemia, acute renal failure, hypoxic respiratory failure and respiratory distress resulting in emergent intubation.", + "output": "Patient has no residual viral load." + }, + { + "input": "Patient was given several iv pushes of diltiazem through the course of the day as well as lopressor to break the rapid rate.", + "output": "Patient has normal rate." + }, + { + "input": "In the ed, initial vs were: .", + "output": "The patient did not have vitals taken." + }, + { + "input": "Over the next 3 weeks he was bed bound.", + "output": "Over the next 3 weeks, he was ambulatory." + }, + { + "input": "There was no meconium noted at delivery.", + "output": "The patient has meconium aspiration pneumonia." + }, + { + "input": "Yesterday, pt went to her boyfriend's grave and missed him so much to the point that she decided to end her life with tylenol overdose.", + "output": "The patient has no ideas for suicide." + }, + { + "input": "An aortic balloon pump was placed.", + "output": "The patient has normal cardiac function." + }, + { + "input": "Significant tobacco history.", + "output": "The patient denies tobacco use." + }, + { + "input": "States that she was recovering from a uri; no abdominal pain, no dysuria.", + "output": "She has no recent illness." + }, + { + "input": "She also indicates that her right knee tends to buckle every now and then.", + "output": "The patient has normal knee function." + }, + { + "input": "Of note, the patient had been complaining of increased lower extremity edema and dysphagia for which he was seen in the [**hospital6 2688**] clinic on [**5-27**].", + "output": "The patient has had no trouble eating or drinking." + }, + { + "input": "History of present illness: baby boy [**known patient lastname 6279**] is a 2130 gm product of a 33 and 0/7 weeks gestation with an edc of [**2674-1-4**] born to a 30-year-old g4, p2, now 3, mother with prenatal labs as follows: blood type a+, antibody negative, rpr nonreactive, rubella-immune, hepatitis b surface antigen negative, gbs unknown.", + "output": "The patient is full term." + }, + { + "input": "She went on to receive radiation therapy to her left shoulder.", + "output": "She has no history of radiation therapy." + }, + { + "input": "He denies any facial or extremity numbness or tingling. .", + "output": "He has decreased sensation in his legs." + }, + { + "input": "[**first name4 (namepattern1) **] [**last name (namepattern1) 993**], for her regularly scheduled appointment.", + "output": "\u2014 patient has no appointment scheduled." + }, + { + "input": "3 days pta, the pts wife noted that the pt suddenly turned pale and his sats were 78% on ra, hr 130s.", + "output": "The patient had a normal oxygen saturation." + }, + { + "input": "The patient was said to be ambulatory w/o noted face/arm/leg weakness.", + "output": "The patient was unable to walk." + }, + { + "input": "Pt admitted for syncope w/u.", + "output": "The patient has had no recent loss of consciousness." + }, + { + "input": "She was found to have an o2 sat of 88% on room air and appeared short of breath.", + "output": "The patient was breathing normally." + }, + { + "input": "He denies that she has had fevers, chills, night sweats, n/v, pain, cough, aspiration events, diarrhea, foul-smelling or a change in urine, change in her ambulation or motor ability.", + "output": "The patient had fevers at home." + }, + { + "input": "Klebsiella bacteremia/urosepsis ([**3-20**]) 13.", + "output": "Patient has normal temperature and blood pressure." + }, + { + "input": "Plavix stopped 1 month ago. per pt.", + "output": "Pt is currently on plavix." + }, + { + "input": "C. diff being treated at osh with flagyl and aztreonam", + "output": "The patient received no treatment for symptoms." + }, + { + "input": "Pacemake placed >25 years ago l carotid stent placed 5-10 years ago open heart surgery in 50s for vsd has \"lazy valve\" per report gout in [**3346**] resolved with ibuprofen", + "output": "The patient has normal carotid arteries." + }, + { + "input": "The patient reports left lower extremity pain and swelling two weeks ago.", + "output": "Patient has normal history." + }, + { + "input": "On review of his past oncologic history, he was diagnosed in [**2644**] when he developed significant snoring related problems that required seeking medical attention.", + "output": "No history of snoring." + }, + { + "input": "After ct and magnetic resonance imaging, she was transferred to the neurology intensive care unit.", + "output": "The patient has normal neurologic function." + }, + { + "input": "He was also noted to be in afib with rvr to 140s, for which he recieved diltiazem 10 mg iv x 1, metoprolol 5 mg iv x1, also received metoprolol 75 mg po x1.", + "output": "Patient has norma sinus rhythm." + }, + { + "input": "Given po vancomycin, and decadron 10 mg iv. . ****** in the micu, patient was maintained initially on pressors, volume resuscitated, given stress dose steroids, treated with flagyl/zosyn/vanc, as well as oral vanc.", + "output": "The patient can maintain a normal blood pressure." + }, + { + "input": "Wedge pressure was elevated to 17, pa systolic pressure was elevated to 43; and an aortic ballon pump was placed to augment his cardiac output.", + "output": "Patient has normal cardiac output." + }, + { + "input": "The patient has no specific complaints other than low leg pain.", + "output": "The patient has no pain." + }, + { + "input": "He was receiving prophylaxis, stress peptic ulcer prophylaxis on protonix.", + "output": "The patient is not taking medications." + }, + { + "input": "Diabetes mellitus type 2.", + "output": "Patient has normal blood sugars." + }, + { + "input": "Diabetes mellitus type 2.", + "output": "No history of abnormal blood sugar levels." + }, + { + "input": "Diabetes mellitus type 2.", + "output": "The patient does not have diabetes." + }, + { + "input": "History of present illness: baby [**name (ni) **] [**known patient lastname 18393**] is a newborn infant admitted to the newborn icu for evaluation of hypoglycemia and respiratory distress.", + "output": "The baby had an apgar score of 10." + }, + { + "input": "Last night developed repeated episodes of diarrhea as well as nausea and malaise.", + "output": "The patient denies any gastrointestinal symptoms." + }, + { + "input": "History of present illness: this is a 62 year-old female status post proctocolectomy and ileostomy in [**2678-6-26**] for ulcerative colitis.", + "output": "Patient has not had extensive surgery." + }, + { + "input": "However, given a concern for this in face of starting steroids, mr.", + "output": "The patient is not taking medication." + }, + { + "input": "Patient was started on a heparin drip, nitroglycerin drip, beta-blocker and was taken to catheterization which showed ra pressures of 4, rv pressures of 23/14, pa 23/67, pulmonary capillary wedge pressure of [**7-8**].", + "output": "Patient has not started iv medications." + }, + { + "input": "He has not noticed increased edema.", + "output": "The patient complains of edema." + }, + { + "input": "Htn uterine fibroids abnl pap [**3403**] - no f/u bilateral tubal ligation morbid obesity lipoma resection ivc filter", + "output": "Normal bmi." + }, + { + "input": "Nph s/p vp shunt [**5-14**] ([**hospital1 636**]) 2.", + "output": "The patient has never had brain surgery." + }, + { + "input": "The patient was self-extubated in the field originally at the outside hospital.", + "output": "The patient is comatose." + }, + { + "input": "The baby was [**name2 (ni) **] by spontaneous vaginal delivery with apgar of eight at one minute and eight at five minutes.", + "output": "Apgar scores were low." + }, + { + "input": "He finally went to [**hospital3 1846**], where his glucose was 1047.", + "output": "The patient is hypoglycemic." + }, + { + "input": "Surgery and id were consulted.", + "output": "There were no consults obtained." + }, + { + "input": "She was started on nitroglycerin and responded well.", + "output": "Patient has no cad." + }, + { + "input": "The patient was then seen at the [**hospital3 **] hospital where he underwent a cardiac catheterization which revealed 3-vessel disease.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "She called emt and felt better upon administration of oxygen, nitrates, and lasix in the field.", + "output": "The patient\u2019s symptoms were not treated by lasix, nitrates or oxygen." + }, + { + "input": "Status post epi.", + "output": "The patient has not received medication." + }, + { + "input": "Cath done [**10-11**] prior to planned avr showed no significant coronary disease.", + "output": "The patient has a normal aortic valve." + }, + { + "input": "She was given albuterol with little effect and when a chest xray was performed and was consistent with failure, she was given 40mg of iv lasix with some response.", + "output": "The patient is dehydrated." + }, + { + "input": "She had been given vitamin a and fresh frozen plasma times two.", + "output": "Patient has normal ptt/pt." + }, + { + "input": "Posterior segmental instrumentation became dislodged and the patient had to be revised with removal of instrumentation.", + "output": "Patient has no surgical history." + }, + { + "input": "He has no complaints of fever, cough, rhinorrhoea, nausea, vomiting, diarrhoea, urinary symptoms.", + "output": "Patient has a uri." + }, + { + "input": "There was intrauterine growth restriction noted.", + "output": "The fetus is growing normally." + }, + { + "input": "Alzheimer's dementia macular degeneration vertigo hypothyroidism depression with anxiety and delusions a fib", + "output": "Patient has normal mmse." + }, + { + "input": "The patient reports increasing lower extremity edema, left much greater than right, over the last week.", + "output": "The patient has no signs of edema." + }, + { + "input": "He was found to have a hematocrit of 23.7, a troponin of 0.06, was guaiac positive with a negative ng lavage.", + "output": "Hematocrit is normal." + }, + { + "input": "Baby [**name (ni) **] [**known patient lastname 24512**] is presently a non-distressed infant with clinical dysmorphic features that are consistent with down's which include upslanting palpebral fissures with epicanthal folds, mild macroglossia, and mild redundant nuchal fold.", + "output": "There is a normal physical exam." + }, + { + "input": "The patient had an episode of leg weakness last night.", + "output": "The patient\u2019s strength has been intact in the lower extremities." + }, + { + "input": "[**known patient lastname 36648**] had progressively worsening lower extremity edema.", + "output": "The patient has normal extremity exam." + }, + { + "input": "The patient was immediately taken to scan, where his ct scan of the head confirmed what was seen on clinical exam that the patient had evidence of a massive intracranial hemorrhage.", + "output": "The patient has a normal ct of the head." + }, + { + "input": "At the time of transfer, she was on echinocandin therapy alone as her antifungal [**doctor last name 176**] and was persistently fungemic.", + "output": "Her blood work was normal." + }, + { + "input": "His ast was 82 and his alt was 61.", + "output": "He has elevated lfts." + }, + { + "input": "She was discharged on lisinopril 5mg, toprol xl 12.5mg, furosemide 40mg.", + "output": "The patient is not taking medication." + }, + { + "input": "On morning of admission, pt awoke with fsbs 298, he did not eat breakfast, +bolus insulin 12u.", + "output": "The patient has hypoglycemia." + }, + { + "input": "Of note, the patient also was found to have a platelet count of 30 on admission to the medical intensive care unit.", + "output": "Platelet count was within normal limits." + }, + { + "input": "Head ct no intracerebral hemorrhage, dense left mca sign and received bolus tpa given via ninds protocol 68 minutes after approximate symptom onset.", + "output": "Head ct was unremarkable." + }, + { + "input": "Given her history of osa, an abg was performed with showed a pco2 of 49. .", + "output": "The patient has normal breathing." + }, + { + "input": "[**known patient lastname 14625**] is a 66 year-old russian female with a history of shoulder dislocation admitted with shoulder dislocation status post fall.", + "output": "The patient has no history of falls." + }, + { + "input": "She was placed on bipap at her home settings of 15 and 5.", + "output": "The patient has normal breathing." + }, + { + "input": "The rasp was 22 mm hg, rvedp 30 mm hg, pasp 57 mm hg, pcwp 35 mm hg and lvedp 40 mm hg.", + "output": "The patient has normal pulmonary artery pressures." + }, + { + "input": "Htn hypercholesterolemia glaucoma", + "output": "Patient has normal total cholesterol." + }, + { + "input": "History of present illness: the patient is a 75-year-old woman who presents after having a headache in the left frontal area with hypertension.", + "output": "The patient\u2019s vitals have been normal." + }, + { + "input": "Pressors weaned off last night but pt also developed iv infiltration secondary to peripheral levophed, given phentolamine overnight.", + "output": "The patient is normotensive." + }, + { + "input": "Decision was made to remove balloon pump.", + "output": "Patient has normal heart function." + }, + { + "input": "She has had multiple episodes of diabetic ketoacidosis.", + "output": "Patient has normal serum ph." + }, + { + "input": "[**known patient firstname **] [**known patient lastname 6979**] is a 53-year-old right-handed woman with a history of cns lymphoma involving the basal ganglia, left subfrontal white matter, and corpus callosum with some associated edema and mass effect, s/p 2 cycles of induction high-dose methotrexate, and s/p 1 cycle of high-dose methotrexate and rituximab.", + "output": "The patient has a normal brain mri." + }, + { + "input": "In addition, he had increased weakness and decreased oral intake.", + "output": "The patient\u2019s has polydipsea." + }, + { + "input": "Prenatal screens: 0 negative, antibody negative, rubella immune.", + "output": "The patient\u2019s blood type is a positive." + }, + { + "input": "Maternal history was notable for infertility with multiple attempts at assisted fertilization including one biochemical pregnancy in [**2870**].", + "output": "The mother had normal fertility." + }, + { + "input": "In the emergency room she was noted to have peak flows in the 180s.", + "output": "Peak flow was normal in the emergency room." + }, + { + "input": "Headaches: rxn to prograf; was taken off for some time then restarted; ha are throbbing, constant and encompass whole head.", + "output": "The patient has no surgical history." + }, + { + "input": "Grade ii esophageal varices.", + "output": "The patient has normal portal venous pressures." + }, + { + "input": "History of cmv viremia x3.", + "output": "Patient has no history of cmv." + }, + { + "input": "Of concern, her urine output decreased, with a total of 75cc uop for which she was transferred to [**hospital unit name 69**] for closer monitoring.", + "output": "The patient has excessive urine output." + }, + { + "input": "There was a fetal demise of one of the twins.", + "output": "Both twins were healthy." + }, + { + "input": "She was discharged to rehab facility on [**11-11**] with the regimen of 4 hours on bipap and 4 hours off due to her hypercarbic resp failure.", + "output": "The patient requires intubation." + }, + { + "input": "Upon arrival to the ccu, patient pain free, a+o, integrilin running, off lidocaine.", + "output": "The patient is not on medication." + }, + { + "input": "Although she is a poor historian, she c/o fatigue, some dizziness, epecially upon standing, as well as recent diarrhea.", + "output": "She denies any symptoms." + }, + { + "input": "-mvr -cad (cath on [**2648-10-27**] d/t chf: 70% ramus, 40% d1, 80% cx, 80% rca) -htn -hyperchol -endocarditis x 2 ([**2644**], [**2646**], second one complicated by stroke), both beta hemolytic streptococci, 500 mg twice daily since [**2646**], ampicillin prophylaxis for all dental work. -bleeding duodenal ulcer/pud, helicobacter antibody positive -stroke secondary to endocarditis [**2646**] -prostate ca [**2638**] s/p surgery", + "output": "The patient has a normal functioning heart." + }, + { + "input": "Based on the above findings, he was admitted for cardiac catheterization.", + "output": "Patient has no cardiac findings." + }, + { + "input": "This is an 86 yo f with cad s/p cabg, htn, dyslipidemia, gerd, history of cva, and tracheobronchomalacia and eosinophilic bronchitis who presented on transfer from [**hospital3 **] for ercp for a biliary leak.", + "output": "She has no heart disease." + }, + { + "input": "Atrial fibrillation/flutter for ~2 years, not on anticoagulation 2.", + "output": "Normal heart rate and rhythm, no history of arrhythmia." + }, + { + "input": "History of present illness: this is a 63 year old female with coronary artery disease status post catheterization with stent of the mid left anterior descending on [**2614-9-6**], who presented on [**2614-10-3**], for elective carotid catheterization.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Ekg was unchanged with no st changes.", + "output": "Patient has new ekg findings." + }, + { + "input": "[**name10 (nameis) **] note, pt had been on bactrim prophylaxis for pcp which was [**name initial (pre) **]/ced [**1-27**] lft abnormalities (as mentioned above).", + "output": "The patient is immunocompetent." + }, + { + "input": "Removal of basal cell carcinoma of nose. hypothyroidism cervical ca (40 years ago) atrial fibrillation chronic systolic heart failure", + "output": "The patient has no history of cancer." + }, + { + "input": "She improved and was extubated and weanted from pressors.", + "output": "The patient had a hypertensive emergency." + }, + { + "input": "Heparin was reversed with protamine.", + "output": "The patient has no history of heparin use." + }, + { + "input": "She received antibiotics about a half hour prior to delivery.", + "output": "The patient did not recieve antibiotics." + }, + { + "input": "He received 150 joules x 2 and 200 joules x 1.", + "output": "Patient has normal sinus rhythm." + }, + { + "input": "He presented to the emergency department secondary to pain.", + "output": "He denied pain." + }, + { + "input": "She also complains of pain radiating down her neck and across her shoulders.", + "output": "The patient has no pain." + }, + { + "input": "Later in the day, the patient became progressively more agitated requiring increasing oxygen and sedative medications, and ultimately, she has to be reintubated.", + "output": "The patient is calm." + }, + { + "input": "Treated with asa 325mg, 1 inch nitropaste.", + "output": "No cardiac symptoms." + }, + { + "input": "The patient was sent to [**hospital1 58**] for admission.", + "output": "The patient was treated as an outpatient." + }, + { + "input": "3) anemia, negative gi workup in [**3266**] (baseline 30) 4) cholethiasis s/p chole 5) tympanoplasty 6) nephrolithiasis", + "output": "Patient has normal hct." + }, + { + "input": "She was medically managed with diuretics and verapamil but eventually required etoh ablation 9/[**2812**].", + "output": "Patient has normal symptoms." + }, + { + "input": "Pt did not sustain any other major injuries aside from her right upper extremity.", + "output": "The patient has no injuries." + }, + { + "input": "An echocardiogram on [**9-15**] revealed an ejection fraction of 60%, mild left ventricular hypertrophy, 1 to 2+ mitral regurgitation, and 1+ tricuspid regurgitation.", + "output": "The patient has heart failure." + }, + { + "input": "Additionally, the attending anesthesiologist was [**year (4 digits) 1121**] by telephone by the primary obstetrician, and this headache was discussed while the patient was en route to gyn triage regarding the proper approach to evaluation.", + "output": "The patient denies headache." + }, + { + "input": "Dm htn chronic low back pain ptsd", + "output": "The patient has no medical history." + }, + { + "input": "Diabetic nephropathy, hypertension, renal cell cancer papillary, status post right partial nephrectomy, depression.", + "output": "The patient has never had surgery before." + }, + { + "input": "In the [**hospital1 18**] ed, the patient was started on integrillin and heparin boluses as he had mild sscp and continued ekg changes.", + "output": "The patient is not having chest pain." + }, + { + "input": "He developed acute-onset chest pain at midnight on the day of transfer.", + "output": "Patient has normal exam." + }, + { + "input": "Sob occurs at rest and on exertion.", + "output": "Not a finding seen in structural heart disease or pulmonary disease." + }, + { + "input": "Of note, she was seen in the ed for a similar episode on [**12-18**] when she was found to have a uti and treated with a 7 day course of levaquin.", + "output": "She has no history of urinary complaints." + }, + { + "input": "There was no bony injury to the orbit.", + "output": "Patient has a large orbital fracture." + }, + { + "input": "[**known patient lastname 14396**] dyspnea and cough returned and it was progressive over the course of the last year.", + "output": "The patient denies shortness of breath." + }, + { + "input": "Chronic abdominal pain syndrome 13.", + "output": "The patient has no history of chronic pain." + }, + { + "input": "Pt started experiencing nausea and vomiting and went to [**hospital3 828**] ed.", + "output": "The patient denied nausea." + }, + { + "input": "Aggressive diuresis once bp stabilizes.", + "output": "The patient is hypovolemic." + }, + { + "input": "The patient's ct showed signs of left ventricular strain.", + "output": "Ct scan was normal." + }, + { + "input": "58 year old male with unknown pmh p/w witnessed cardiac arrest in the field.", + "output": "The patient has a a normally functioning cardiopulmonary system." + }, + { + "input": "History of present illness: this is a 36-year-old female with a past medical history of alcohol abuse, cocaine use, with hepatitis c cirrhosis who presented to .......... for detox.", + "output": "The patient has no history of substance abuse." + }, + { + "input": "He had a gastrostomy tube placed in [**2789**].", + "output": "The patient has no means of nutrition." + }, + { + "input": "History of present illness: the patient is a 61 year old gentleman who, shortly prior to admission, had been in [** location **]usly good health but developed left scapular discomfort and left arm paresthesias as well as mild weakness in his fingers.", + "output": "Patient has negative ros." + }, + { + "input": "Etoh cirrhosis with diuretic resistant ascites(us guided para on [**2862-6-29**] removing 8.5l and on [**2862-6-16**] removing 4 l): followed by dr [**last name (stitle) **] dm ckd laryngeal cancer status post xrt anemia colonic adenoma gerd agram [**2862-8-1**]: stent eia, aplast/stent sfa,[**doctor last name **],pt", + "output": "No history of cancer." + }, + { + "input": "The patient is unaware of any [** location **]itating factor however he feels that it might have been due to a recent asthma flare.", + "output": "The patient does not have reactive airways." + }, + { + "input": "2) s/p colon resection as a child 3) hx of crack cocaine abuse", + "output": "Patient has not had surgery." + }, + { + "input": "Status post appendectomy 6.", + "output": "No surgical history." + }, + { + "input": "She was admitted the day prior to delivery with a fever to 104.", + "output": "The patient is afebrile." + }, + { + "input": "During her stay, she was also followed by vascular for severe peripheral edema.", + "output": "Extremities appeared normal bilaterally." + }, + { + "input": "This is a 61 yo male w/ h/o hypertension, hyperlipidemia, and dm2 (diet controlled) who recently developed chest pain and had syncopal episode today.", + "output": "The patient is has a normal ldl." + }, + { + "input": "Bedside echo demonstrated large cardiac effusion, and the patient was transferred to ccu for further management.", + "output": "The patient\u2019s heart is working normally." + }, + { + "input": "The chest tightness was not relieved with the nitroglycerin, but resolved with darvocet.", + "output": "The patient has not received a narcotic." + }, + { + "input": "The yeast was later speciated as [**female first name (un) 558**] parapsilosis.", + "output": "There was no yeast growth." + }, + { + "input": "[**known patient lastname 30983**] is a 73-year-old right-handed female with a history of hypertension, hyperlipidemia, and probable right pontine lacunar stroke (she presented with right cn vi and vii palsies that have since resolved) in [**2800**] who was noted by her son on [**2802-5-22**] to be in her usual state of good health.", + "output": "The patient has no neurologic history." + }, + { + "input": "At [**hospital1 22**], pt received zosyn, thiamine, pt was admitted to the micu for further evaluation and treatment.", + "output": "The patient was discharged home." + }, + { + "input": "The patient was stable and capturing with threshold of 1.5 mv of current.", + "output": "The patient has normal heart function." + }, + { + "input": "He was c/o feeling more fatigued, unable to do adls due to fatigue, feeling \"really sick\", \"wiped out\", feeling very dizzy and light headed.", + "output": "The patient has full energy." + }, + { + "input": "Sputum cx, gs, cont bactrim ppx for pcp 2.", + "output": "The patient is at low risk for infection." + }, + { + "input": "When she came back she was noted to be hypoxic then also noted to be tachycardic and hypertense w/ systolics in the 200s.", + "output": "The patient has normal vitals." + }, + { + "input": "She was intubated and given dopamine for hypotension.", + "output": "The patient is hypertensive." + }, + { + "input": "In the ed, her initial vs were: t 97.3, p 85, bp 80/46, r 16, o2 95% on ra.", + "output": "The patient is febrile." + }, + { + "input": "On retrospect, the patient has had 25 lb weight loss in past 4 months.", + "output": "Patient has a stable bmi." + }, + { + "input": "Volume resuscitated, propofol turned off and given 2 gram ceftriaxone and flagyl.", + "output": "Patient is hypervolemic." + }, + { + "input": "She was in her usual state of health until today around 8:00 am when she woke up and started with sudden dull retro-sternal chest pain [**6-26**] without any radiation, associated with shortness of breath.", + "output": "Patient has no pain." + }, + { + "input": "He now complains of a 3 week duration of l retroorbital ha initially controlled with percocet.", + "output": "The patient denies headache." + }, + { + "input": "She has limited recollection of events, but seems to have fallen against a corner of a door frame and pulled the wall oven door open.", + "output": "Patient has normal mmse." + }, + { + "input": "The patient was monitored overnight and has remained hemodynamically stable, had hd today.", + "output": "The patient has normal kidney function." + }, + { + "input": "He developed rigors while eating dinner last evening.", + "output": "The patient is asymptomatic." + }, + { + "input": "Subsequent stress testing was positive for ischemia.", + "output": "The patient does not have coronary artery disease." + }, + { + "input": "Concurrently, she also complained of some stiff pain from neck.", + "output": "She has no pain." + }, + { + "input": "Urinary tract infection with methicillin resistant staphylococcus aureus.", + "output": "No history of urinary tract infections." + }, + { + "input": "Initially her o2 sats were 70% on ra, hr 100, sbp 160.", + "output": "The patient has normal oxygenation." + }, + { + "input": "The infant was brought to the newborn nursery where she was noted to be dusky and tachypneic at 2 hours of age.", + "output": "The patient is cyanotic." + }, + { + "input": "S/p l hip orif on [**6-28**] complicated by hypotension and hemorrhage on lovenox requiring 4 units of prbcs in 24 hours. .", + "output": "Patient had no complications from hip surgery." + }, + { + "input": "Pt recent admission was for bloody stools and significantly elevated inr.", + "output": "The patient has a normal clotting time." + }, + { + "input": "Severe cad s/p 4vcabg [**2795**] 2.", + "output": "The patient has." + }, + { + "input": "The patient began complaining of worsening pain and then was uncooperative with further history/interview.", + "output": "The patient is in no pain." + }, + { + "input": "Lenis without evidence of dvt.", + "output": "There was a venous thrombosis found." + }, + { + "input": "He then had \"copious\" amounts of liquid green diarrhea.", + "output": "Patient has normal blood work." + }, + { + "input": "She received magnesium sulfate and betamethasone at that time.", + "output": "Patient has no symptoms." + }, + { + "input": "The infant was born by repeat cesarean section for worsening pregnancy induced required bulb suctioning and tactile stimulation.", + "output": "The patient was born via vaginal delivery." + }, + { + "input": "Liver transplant six years ago for hepatitis b and hepatitis c.", + "output": "No history of hepatic disease." + }, + { + "input": "The patient was admitted to the micu.", + "output": "The patient needed no medical care." + }, + { + "input": "In the [**name (ni) **], pt had episodes of hypotension (sbp down to 60's), and was given 7 l ns.", + "output": "Patient has no iv in place." + }, + { + "input": "He was transferred to the ccu, clincally stable with bps around 100. .", + "output": "The patient\u2019s vitals are fluctuating." + }, + { + "input": "History of present illness: 72-year-old man with known cad status post a mi in [**2501**] underwent cardiac catheterization on the day of admission and was found to have three-vessel disease with calcified left main and ef of 30 percent by echo done in [**2528-3-20**].", + "output": "The patient has normal cardiac function." + }, + { + "input": "Membranes were ruptured artificially around 5 hours prior to delivery for clear fluid.", + "output": "Spontaneous rupture of membranes." + }, + { + "input": "The patient was then transferred to the intensive care unit for further monitoring.", + "output": "The patient was transferred to the step down unit." + }, + { + "input": "A kub perfomed in the ed revealed a large bowel obstruction.", + "output": "The patient had a normal abdominal x ray." + }, + { + "input": "It does appear though that he was discharged on a 5 day course of bactrim per id recs for mrsa.", + "output": "He required no medication." + }, + { + "input": "83m cad s/p mi [**2665**] (treated with tpa-> ptca at [**hospital3 **]) presented for elective catheterization for progressive dyspnea on exertion and positive stress mibi.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Pulmonary function tests in [**3053-6-22**] showed a fvc of 1.85 liters, fev1 0.73 liters, and a fev1/fvc ratio 39%.", + "output": "The patient has normal lungs." + }, + { + "input": "Cholangitis complicated elective ercp 7. h/o hyponatremia as low as 119 8.", + "output": "Patient has normal biliary system." + }, + { + "input": "He was treated with steroids and levoflox.", + "output": "He was treated with steroids only." + }, + { + "input": "No change in his stool to a darker color over the past few weeks.", + "output": "Patient has melena." + }, + { + "input": "Late in the day of postoperative day eight the patient was transferred from the intensive care unit to floor five [**hospital1 **] and she continued to do well with saturations staying above 95% on four liters of oxygen.", + "output": "The patient does not require supplemental oxygen." + }, + { + "input": "Mom was betamethasone complete prior to delivery on [**3422-1-19**].", + "output": "Patient is full term." + }, + { + "input": "On review of systems, the patient reports some upper respiratory infection like symptoms of sore throat, occasional cough productive of brown sputum, with chills and night sweats for the past two nights.", + "output": "The patient has not had any pulmonary symptoms." + }, + { + "input": "History of present illness: the patient is a 38 year old male transferred from [**hospital 1543**] hospital early on the morning of [**2985-12-2**], with acute renal failure, hyperkalemia, abdominal pain and nausea.", + "output": "The patient has a normal basic metabolic profile." + }, + { + "input": "He is unable to provide any history or answer any questions.", + "output": "Patient is alert aware and oriented." + }, + { + "input": "No fevers, chills, sweats, nausea, vomiting, dysuria, or hematuria.", + "output": "The patient is febrile." + }, + { + "input": "Past medical history: osteoporosis, hypertension.", + "output": "Normal bone strength." + }, + { + "input": "According to a report, the patient had a stress echocardiogram performed in [**state 107**] which showed no change from his [** location **]us findings.", + "output": "Patient has no prior imaging." + }, + { + "input": "Initial ck flat, trop 0.02.", + "output": "The patient is having a heart attack." + }, + { + "input": "Maximum of overdose approximately 89 tablets -- 44.5 gm tylenol, 2.2 gm benadryl (toxic benadryl dose 20-40 mg/kg). .", + "output": "The patient is safe for discharge." + }, + { + "input": "The patient says that her lasix dose was cut in half during her last hospital stay.", + "output": "The patient had lasix dose increased." + }, + { + "input": "On the day of delivery, she had premature rupture of membranes and was taken to cesarean section.", + "output": "She delivered vaginally." + }, + { + "input": "Type ii dm, hx of peripheral neuropathy stress test 2-3 years ago, nl per pt asthma htn", + "output": "The patient has normal blood sugars." + }, + { + "input": "The patient reports developing substernal chest pain with minimal movement since [**month (only) 10**] when he received a blood transfusion for hemoptysis.", + "output": "The patient has no evidence of bleeding." + }, + { + "input": "Upon arrival to the [**hospital unit name 152**] he was started on leukophoresis by the transfusion service.", + "output": "The patient has a normal cbc." + }, + { + "input": "The patient was then brought to [**hospital1 58**] emergency department where he was noted to still be in pulseless electrical activity.", + "output": "The patient was alert and oriented." + }, + { + "input": "88 yof with a history of ckd [**1-23**] htn and on coumadin for prior pe.", + "output": "She has normal renal function." + }, + { + "input": "This is a 65 year old woman with recurrent large cell lymphoma first diagnosed in [**6-7**], s/p 6 cycles of r-chop in [**12-10**], recurrence in fall of [**3090**], s/p ice x 3 and eshap ([**1-11**]).", + "output": "Patient has no pmh." + }, + { + "input": "The patient's cardiac enzymes came back negative and ruled out for a myocardial infarction at that time.", + "output": "The patient\u2019s cardiac enzymes indicated a heart attack." + }, + { + "input": "Maternal medical history: maternal medical history of polycystic ovarian syndrome.", + "output": "No family history of endocrine disorders." + }, + { + "input": "He then had recurrence in [**2774**] and underwent il-2 again.", + "output": "He has no past medical history." + }, + { + "input": "The amniotic fluid was clear.", + "output": "The amniotic fluid was purulent." + }, + { + "input": "The patient was transported by medical flight to [**hospital1 47**] for further evaluation.", + "output": "The patient was discharged to be followed up as outpatient." + }, + { + "input": "Her abg was 7.33/23/78/12 on ra.", + "output": "Patient has normal labs." + }, + { + "input": "He had a repeat head ct on [**3289-9-12**] that was stable.", + "output": "Repeat head ct shows a mass." + }, + { + "input": "Her mother had noted increasing le and full-body edema for the past 2-3 months, so much so that she had to buy her new pants in a larger size.", + "output": "The patient has no edema." + }, + { + "input": "Vertebral body and disc heights are preserved.", + "output": "Patient has a spine fracture." + }, + { + "input": "Has had l sided abd pain x several weeks.", + "output": "Patient denies pain." + }, + { + "input": "Ros prior to intubation: raspy voice; coughing up thick sputum; loss of sensation in his fingers and his r great toe.", + "output": "Patient has no ventilator requirement." + }, + { + "input": "History of present illness: the patient is an 86 year-old man who was hospitalized at [**hospital1 69**] in early [**3186-7-5**] and was found to have mssa bacteremia.", + "output": "The patient has no history of bacteria in the blood." + }, + { + "input": "Cardiac risk factors: diabetes, dyslipidemia, hypertension 2.", + "output": "The patient is not at increased risk of an myocardial infarction." + }, + { + "input": "He had been experiencing a flare of his ulcerative colitis, that begain back in [**2974-7-15**].", + "output": "He has no history of gastrointestinal disease." + }, + { + "input": "History of anemia.", + "output": "The patient has a normal blood count." + }, + { + "input": "He received cardizem 15mg iv.", + "output": "He received no medication." + }, + { + "input": "A head ct was performed and showed hemorrhage into l 3rd and lateral ventricles with likely source in l basal ganglia, sah in cerebellum and midline, and 4 mm midline shift.", + "output": "Normal head ct." + }, + { + "input": "Patient had pigtail placed on [**11-30**].", + "output": "Patient required no medical intervention." + }, + { + "input": "Mri subsequently showed diffuse moderate ventriculomegaly and irregularity of the ventricular walls, possibly associated with hemorrhage as well as possible inferior vermian hypoplasia.", + "output": "Head mri was unremarkable." + }, + { + "input": "Past medical history: systemic lupus erythematosus with a positive [**doctor first name **] of 1:1280, negative double stranded dna, positive rheumatoid factor, positive [**doctor last name 140**], positive ribonuclear protein, positive ro, positive antihistone, negative la, normal complement levels this year.", + "output": "The patient has no history of autoimmune conditions." + }, + { + "input": "Later that day, the primary care physician referred him to the emergency department secondary to patient's complaint of coffee ground emesis.", + "output": "The patient is not bleeding." + }, + { + "input": "Her vitals on presentation to the ed were 97.6 92 109/71 18 100% 4l nc.", + "output": "She is febrile." + }, + { + "input": "There was only a mild to moderate dic picture due to the infection.", + "output": "The patient had severe disseminated intravascular coagulation due to infection." + }, + { + "input": "Toe pain present from last hospital stay.", + "output": "Patient has negative ros." + }, + { + "input": "At 5am, woke his wife who brought him to osh where he was found to have st depressions in v1, v2.", + "output": "The patient has an normal ekg." + }, + { + "input": "5) history of iv drug use cocaine and heroin) greater than 20 years ago).", + "output": "The patient has no history of drug use." + }, + { + "input": "His sbp's improved to 90's-100's with 2l ivf.", + "output": "Patient has had normal blood pressure." + }, + { + "input": "Cad s/p cabg [**2642**] afib on coumadin hypertension emphysema", + "output": "No history of cardiac disease." + }, + { + "input": "He was given morphine 4 mg iv for pain and toradol.", + "output": "Patient has negative ros." + }, + { + "input": "Tobacco abuse: [** location **]us 5ppd, now [**3-13**] cigs/day 6.", + "output": "The patient does not smoke." + }, + { + "input": "Coronary artery disease inferior mi ( unknown date)", + "output": "The patient has no cardiac history." + }, + { + "input": "Given that his blood sugar was >600 with a gap of 14, he received humalog 12 u and was started on an insulin drip.", + "output": "The patient\u2019s blood sugar is normal." + }, + { + "input": "In the emergency room, the patient was noted to be in diabetic ketoacidosis with a finger stick blood sugar of 498 mg per deciliter with serum enduring ketones.", + "output": "The patient has normal blood sugar." + }, + { + "input": "Cardiac catheterization revealed severe left main disease and three vessel coronary artery disease.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "History of present illness: the patient was transferred from the micu to the medicine team.", + "output": "The patient has not been in a hospital." + }, + { + "input": "Pericardiocentesis removed 520cc of bloody fluid.", + "output": "The patient has a normal echocardiogram." + }, + { + "input": "She then reported she wanted to go home and go to bed.", + "output": "She wanted to remain in the hospital." + }, + { + "input": "An lp was performed that was notable for 2 wbc (80% lymphs), 0 rbc, prot 32 and glu 92.", + "output": "Patient has no symptoms." + }, + { + "input": "At osh, her initial vitals were 96.7, 117/71, 76, 18.", + "output": "Patient has a fever." + }, + { + "input": "On neurologic examination, her mental status at the onset of her admission was poor.", + "output": "She is alert and oriented to person, place and time." + }, + { + "input": "Dyspepsia 14. s/p right cataract surgery ([**2710**]) 15. s/p right breast mass excision for atypical ductal hyperplasia ([**4-/2709**]) 16. s/p open appendectomy ([**2648**]) 17.", + "output": "The patient has no cancer history." + }, + { + "input": "Additionally he complained of right sided chest pain.", + "output": "He denies pain." + }, + { + "input": "The patient admitted there with generalized weakness, and malaise, and inability to walk with progressive weakness over the last week.", + "output": "The patient has no neurologic deficits." + }, + { + "input": "Chronic obstructive pulmonary disease 2.", + "output": "Copd is a cardiac condition." + }, + { + "input": "A repeat hct showed a hct of 27 (36 on admission?) and 1u prbc was given.", + "output": "Patient has normal cbc." + }, + { + "input": "78 yo man c pmh of chronic liver disease, hepatoma s/p [**first name3 (lf) 32230**] x 2, copd, afib on coumadin, was in his usoh until [**3400-3-1**] am when he began having chills, rigors and was febrile at home to 101, per pt.", + "output": "Patient has no evidence of infection." + }, + { + "input": "End-stage renal disease; the patient receives hemodialysis on tuesday, thursday, and on saturday.", + "output": "The patient has normal renal function." + }, + { + "input": "There was spontaneous rupture of membranes.", + "output": "Artificial rupture of membranes." + }, + { + "input": "Cath demonstrated om3 occlusion (full report see below).", + "output": "Normal cardiac function." + }, + { + "input": "Pt got slntg x2, asa, ns ivf and sent her to [**hospital3 **].", + "output": "The patient has no iv access." + }, + { + "input": "She denied any symptoms of chest pain, palpitations or shortness of breath.", + "output": "The patient is in ventricular tachycardia." + }, + { + "input": "She was started on vancomycin.", + "output": "She required no antibiotics." + }, + { + "input": "In the ed she had a sbp in the 50s in triage while awake and mentating.", + "output": "She was hypertensive." + }, + { + "input": "[**name (ni) **] their report the patient had increased depression over the past several weeks due to difficulties with boyfriend and had been increasing her dose of elavil and trazodone over the past week.", + "output": "The patient has no psychiatric history." + }, + { + "input": "The infant was noted to have a dusky episode while feeding in the newborn nursery.", + "output": "The patient has a normal oxygen saturation." + }, + { + "input": "Received 1l ns in the ed here.", + "output": "Patient has no acute illness." + }, + { + "input": "Diabetes mellitus, type ii 4.", + "output": "Patient has normal glucose." + }, + { + "input": "The patient lives in a heavily wooded area, has deer in his backyard, and also has a pet dog.", + "output": "Patient has no exposure to animals." + }, + { + "input": "59m homeless s/p fall from standing after tripping and hitting l frontal area.", + "output": "The patient fell and hit his pelvis." + }, + { + "input": "80m cad s/p cabg [**3136**] (lima to lad, svg to rca, svg to lcx), ischemic cm/chf with ef 35%, chronic afib (on coumadin) s/p ppm (infected wire [**3136**], revised and reinserted on left in [**3138**]), initially admitted to osh [**12-14**] for lll pna, treated with levofloxacin.", + "output": "The patient has a normal chest x ray." + }, + { + "input": "Rescanned in [**7-24**] with progression of disease and then received two more cycles of cep on [**3433-7-25**] and [**3433-8-27**] with ct scan on [**3433-9-25**] with response to therapy.", + "output": "Patient has decreased size of his cancerous lesions." + }, + { + "input": "1 yo endocrinologist here at [**hospital1 4**], h/o gib (unknown source), p/w black stools.", + "output": "No history of gi bleeds." + }, + { + "input": "Residual defects include aphasia and r sided weakness.", + "output": "Patient has normal neurological exam." + }, + { + "input": "History of present illness: this is a 58 year old, left handed, white female, retired bank clerk who had a cold with frequent coughing for a few days, then developed episodic severe headache times one to two days.", + "output": "She has no pain." + }, + { + "input": "All blood and cerebral spinal cultures were no growth.", + "output": "The patient is bacteremic." + }, + { + "input": "The stripe could not be seen and the ovaries were not identified.", + "output": "Ovaries were unremarkable on imaging." + }, + { + "input": "He denies ever seeing bleeding like this before.", + "output": "No blood loss." + }, + { + "input": "The patient was seen to collapse at home.", + "output": "Patient has no history of falls." + }, + { + "input": "Pt has extensive history of cad with chf and cri.", + "output": "The patient has normal heart function." + }, + { + "input": "No chest pain or hemoptysis.", + "output": "The patient has chest pain." + }, + { + "input": "Pacemaker placement [**3331-4-13**] ([**company 511**] prodigy 7865u pacer placement) 14.", + "output": "The patient has normal cardiac function." + }, + { + "input": "On eval, pt noted to be in sustained vt, semi-stable with hr 160's and bp 80's/60's.", + "output": "Patient has normal heart rhythm." + }, + { + "input": "The patient was tried on bypap but did not tolerate it.", + "output": "The patient tolerated bipap well." + }, + { + "input": "Initially she had slight nausea, but she has not had any further nausea or vomiting.", + "output": "The patient denies nausea." + }, + { + "input": "54yo male with past medical history significant for coronary artery disease s/p multi[** location **]terventions including cabg in [**2515**], htn, hld who is presenting with stemi.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "History of present illness: the patient is a 74 year old gentleman with multiple medical problems who was found down on the sidewalk this afternoon.", + "output": "He has no past medical history." + }, + { + "input": "Cad - s/p ptca ([**5-30**]) with stenting x2 (lad/rca); ef 25%, global lv hypokinesis htn dm - dx in [**3161**], a1c 6.1 ([**1-31**]) hypercholestrolemia - ldl 97 ([**1-31**]) oa mild ar nonhealing left great toe ulcer shingles [**3160**]", + "output": "Normal cardiac function." + }, + { + "input": "\ufeffhistory of present illness: the patient is a 54 year-old man who is status post aortic valve replacement and abdominal aortic aneurysm repair in [**2941-9-22**] who also underwent abdominal mass removal in [**2942-6-22**].", + "output": "No surgical history." + }, + { + "input": "The patient was given a total of 10 mg of lopressor iv as well as 40 mg of labetalol iv, 10 mg of hydralazine, and 4 mg of morphine.", + "output": "The patient was given medication for hypotension." + }, + { + "input": "He was admitted for symptoms of fever and tenderness of the abdomen over the area of the aneurysm.", + "output": "The patient is afebrile." + }, + { + "input": "54 cantonese only speaking male with cad, htn, dm, esrd on hd was found to be febrile after he had his hemodialysis on doa.", + "output": "He has normal kidney function." + }, + { + "input": "He underwent ct scanning of the head and abdomen.", + "output": "He received no imaging." + }, + { + "input": "Fetal testing was reassuring.", + "output": "No fetal heartbeat detected." + }, + { + "input": "On [**2947-4-3**] an ett-mibi was performed on which he completed 5 minutes of [**initials (namepattern4) **] [**last name (namepattern4) 388**] protocol w/ 5/10 chest pain, 3mm global st depression, and nuclear imaging showed ef 31% with fixed inferior and reversible anterior defects.", + "output": "The patient has triple vessel disease." + }, + { + "input": "However, given + brca1 mutation and family history, presumed primary tumor is breast ca. - treatment history has included zometa as well as one cycle of xeloda at 15 mg p.o.", + "output": "Patient has no history of cancer." + }, + { + "input": "Patient transfered to icu sedated and intubated on levophed gtt at 0.18 mcg/kg/min.", + "output": "The patient is not on respiratory support." + }, + { + "input": "He describes feeling hopeful.", + "output": "The patient describes hopelessness." + }, + { + "input": "History of present illness: patient is an 87-year-old male with history of peripheral vascular disease and coronary artery disease, who presented to the emergency department with the history of diarrhea for the past 1.5 weeks.", + "output": "The patient has normal gastrointestinal function." + }, + { + "input": "He did not have fevers during this time, but did have significant sputum/secretions.", + "output": "The patient was febrile." + }, + { + "input": "He was started on sinemet at that time.", + "output": "He is on no medication." + }, + { + "input": "Paramedics were called and he subsequently sustained a cardiac arrest.", + "output": "His vitals remained stable." + }, + { + "input": "He had a positive stress test following which he had a coronary angiogram which revealed severe triple-vessel disease with preserved left ventricular function.", + "output": "Patient has normal coronaries." + }, + { + "input": "She had no further episodes of mental status changes during her hospital stay.", + "output": "The patient has delirium." + }, + { + "input": "Chest x-ray with an official read of mild interstitial edema, questionable right upper lobe infiltrate.", + "output": "The patient\u2019s lungs are clear." + }, + { + "input": "He also has a history of afib and had significant episodes of arrhythmia during his admission, prompting a cardiology consultation. .", + "output": "The patient has normal heart rhythm." + }, + { + "input": "Medical chronic back pain: several discs and spondylolisthesis surgical left salpingo oophorectomy [**2735**] for torsion; coloposcopy and cryotherapy [**2734**]; appendectomy; t + a ob 3 ftnds", + "output": "The patient has never had abdominal surgery." + }, + { + "input": "56f with hx of htn, dm, chf ef 10-15%, copd, former 1 ppd smoker-quit [**2664**], asthma, obesity admitted to ccu for treatment of pulmonary edema.", + "output": "Patient has no past medical history." + }, + { + "input": "Catheterization showed the right internal coronary artery with calcified 70% lesion at the bifurcation with the right external carotid artery.", + "output": "Patient has no stroke risk factors." + }, + { + "input": "Cmv viral load was negative during admission. .", + "output": "The viral load is high." + }, + { + "input": "History of present illness: [**known patient firstname **] is a very pleasant 83-year- old woman with multiple medical problems, history of breast and bladder cancer who approximately 1 year prior to this presentation had an aortic aneurysm repaired at our facility.", + "output": "The patient has no history of malignancy." + }, + { + "input": "He was offered repair.", + "output": "Repair was not recommended." + }, + { + "input": "2 infrarenal aortic aneurysms (1.4cm, 2.3cm) htn cad. s/p cath in [**2728**] due to abnormal stress with totally occluded mid rca and 50-70%proximal rca with successful stenting x3. dyslipidemia", + "output": "The patient has widely patent coronary arteries." + }, + { + "input": "Ct head negative, cxr negative.", + "output": "Patient has a large lll pneumonia." + }, + { + "input": "He is willing to take medications at this time and is ammenable to surgery and post-op meds.", + "output": "The patient is non compliant." + }, + { + "input": "Acute myeloid leukemia, type m1 see above mucositis graft-versus host disease deep vein thrombosis, left upper extremity gerd anxiety recurrent c diff infection recent influenza a ([**2632-1-10**]) oncological medical history: aml type i - [**2630-7-22**] - allogeneic transplant from unralated donor conditioned with cytoxan and tbi - course complicated by grade ii gvhd gi tract [**8-/2630**] treated with prednisone - resolved. - [**9-/2630**] -- lower extremity weakness and fatigue.", + "output": "The patient has never had cancer." + }, + { + "input": "- dyslipidemia, - hypertension - cabg:cabg '[**69**] (lima -> lad, svg -> d2, om2, rca; stent to rca graft '[**71**]).", + "output": "Patient has no prior intervention." + }, + { + "input": "Patent right vertebral, left vertebral no visualization.", + "output": "The left vertebral artery is seen." + }, + { + "input": "History of present illness: this is a 3.36 kilogram baby born to a 31 year old gravida ii, now para i mother with prenatal screens as follows: blood type o positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen positive, and group b strep negative.", + "output": "The mother is colonized with group b strep bacteria." + }, + { + "input": "Apparently had been having pain since yesterday but was able to go to sleep.", + "output": "The patient has no pain." + }, + { + "input": "Pt presented to osh on [**7-6**] with sob and o2 sat of 82% and pt intubated.", + "output": "The patient is not hypoxic." + }, + { + "input": "However, again the patient had chest pain recurring on the day of admission.", + "output": "The patient has no complaints of chest pain." + }, + { + "input": "Mri showed leptomenigeal enhancement.", + "output": "There is no abnormal enhancement in the brain." + }, + { + "input": "No loc at scene.", + "output": "The patient lost conciousness." + }, + { + "input": "He was transiently on levo/flagyl but these were discontinued after negative stool culture.", + "output": "No history of gastrointestinal dysfunction." + }, + { + "input": "Gi was consulted in ed.", + "output": "The patient is being seen in the outpatient setting." + }, + { + "input": "He remained hemodynamically stable, and again underwent an upper endoscopy which demonstrated diffuse gastritis.", + "output": "The patient does not have gastritis." + }, + { + "input": "Her husband commented that her speech seemed slurred and was not making sense, but there were no clear word substitutions.", + "output": "Patient has normal neurological exam." + }, + { + "input": "Comparison is made with ct from the same date.", + "output": "Patient has no prior ct exam." + }, + { + "input": "Again, during hemodialysis on [**4-18**], the patient developed recurrent chest pain and agreed to a transfer to [**hospital1 58**] for cardiac catheterization.", + "output": "The patient has normal kidney function." + }, + { + "input": "He was shocked multiple times and intubated in the field, and transferred to [**location (un) **].", + "output": "The patient has pulseless electrical activity." + }, + { + "input": "She presented to the emergency room on the 28th with the complaints of dyspnea and palpitations.", + "output": "The patient denies shortness of breath." + }, + { + "input": "[**known patient lastname 4797**] is an 84-year-old woman with a history of a recent myocardial infarction, hypertension, insulin dependent diabetes mellitus and alzheimer's disease.", + "output": "The patient has normal cardiac function." + }, + { + "input": "Responded to empiric therapy with sulfadiazine/leucovorin/pyrimethamine.", + "output": "The patient was not given anti fungal medication." + }, + { + "input": "Maternal history: mother is a 36 year old g2, para 0-1, with significant maternal labs for blood type a positive, antibody negative, hepatitis b negative, rpr nonreactive, rubella immune and group b strep negative.", + "output": "The mother tested positive for syphilis." + }, + { + "input": "She received protonix, 1g vancomycin, and another 3 l of ns for bp ranging from 68-85 systolic and tachycardia to 116.", + "output": "The patient has a normal blood pressure." + }, + { + "input": "Prenatal screens: b positive, antibody positive (anti-[**doctor first name **]), hepatitis surface antigen negative, rpr nonreactive, rubella immune, gsb unknown, hepatitis c antibody positive.", + "output": "The mother has had syphilis exposure." + }, + { + "input": "In the ed initial vs were 98.4 105 152/129 22 100% ra.", + "output": "The patient is hypotensive." + }, + { + "input": "Benign prostatic hypertrophy; status post transurethral resection of prostate.", + "output": "The patient has a normal prostate." + }, + { + "input": "He does not do much outside exercise during cold weather as it adversely affects his breathing with the sarcoidosis.", + "output": "The patient has no autoimmune disease." + }, + { + "input": "She subsequently became pulseless and cpr was initiated at 9:40pm.", + "output": "Patient has an abnormal ekg." + }, + { + "input": "The pt is a 83 y/o rhf with history of multiple tia's and bilateral cea's mos most recent 2 weeks ago for a left cea after \"tia's\".", + "output": "The patient has no atherosclerotic disease." + }, + { + "input": "Left total hip replacement in [**3016**] with a repeat replacement in [**3024**] 14.", + "output": "No surgical history." + }, + { + "input": "Since the suspicion for pe was high, he was empirically started on heparin drip.", + "output": "The patient has a low wells score." + }, + { + "input": "She was given one single dose of zithromax and flagyl.", + "output": "The patient is on long term antibiotics." + }, + { + "input": "In the ed, the patient's vs were t 98.1, p 74, bp 118/80, r 16, o2 96% on ra.", + "output": "The patient is hemodynamically unstable." + }, + { + "input": "Chf with an ejection fraction of 30 percent.", + "output": "Normal cardiac function." + }, + { + "input": "At [**hospital1 68**], pain decreased to [**4-12**] on nitro drip, morphine, banana bag.", + "output": "No improvement in pain after treatment." + }, + { + "input": "Past medical history: prolonged pr interval, left bundle branch block, nonsustained vt, a-flutter.", + "output": "The patient has a normal ekg." + }, + { + "input": "Blood and sputum cultures have been negative (including afb smears, fungal cultures, hsv, rsv, influenza a/b).", + "output": "The patient has bacteremia." + }, + { + "input": "Cxr done in ed showing rll pna.", + "output": "The patient has a normal chest x ray." + }, + { + "input": "On arrival to ed vs:t 103.5, hr 128, bp 125/63, rr 22 sats 97% [**name (ni) 2882**] pt received 4l of ivf, blood & urine cx sent.", + "output": "Patient is afebrile." + }, + { + "input": "Chronic obstructive pulmonary disease.", + "output": "With copd, patients have normal lung function." + }, + { + "input": "Chronic obstructive pulmonary disease.", + "output": "Patient has normal lung parenchyma." + }, + { + "input": "Chronic obstructive pulmonary disease.", + "output": "Normal respiratory function." + }, + { + "input": "Chronic obstructive pulmonary disease.", + "output": "The patient has normal pulmonary function tests." + }, + { + "input": "Chronic obstructive pulmonary disease.", + "output": "The patient has no history of lung disease." + }, + { + "input": "He received an additional dose of lactulose po.", + "output": "The patient is not on lactulose." + }, + { + "input": "Aortic valve disease.", + "output": "Patient has normal cta cardiac." + }, + { + "input": "She has been feeling unwell since her discharge from our hospital on [**2748-7-27**].", + "output": "Patient has felt better since discharge." + }, + { + "input": "History of urinary tract infection.", + "output": "No history of urinary tract problems." + }, + { + "input": "\ufeffthis is a 70 yo female with mmp, and multiple admissions for urosepsis and hypoglycemia, who was recently transferred over the weekend to the micu for code sepsis.", + "output": "The patient has no significant medical history." + }, + { + "input": "Pulmonary embolism seven years ago.", + "output": "Patient has no pmh." + }, + { + "input": "Apgars were 6 at 1 minute and 8 at 5 minutes.", + "output": "Patient has worsening apgar\u2019s." + }, + { + "input": "Troponin was elevated and cardiology was consulted for nstemi.", + "output": "Cardiac function was normal." + }, + { + "input": "The patient's symptoms recurred and was treated again with nitropaste as well as lasix 120mg po, without resolution of symptoms this time.", + "output": "The patient responded to medication." + }, + { + "input": "He underwent ptca to lad and diagonal in [**3467**].", + "output": "The patient had not had a cardiac catheterization." + }, + { + "input": "Status post vasectomy.", + "output": "The patient has no surgical history." + }, + { + "input": "She was extubated on [**2-22**] but had a new 02 requirement felt likely to be secondary to pulmonary edema.", + "output": "The patient is on room air." + }, + { + "input": "She was on an antibiotic which name she does not recall for one week.", + "output": "She has no history of antibiotic use." + }, + { + "input": "She periodically wakes up with drenching sweats in the morning. .", + "output": "She denies night sweats." + }, + { + "input": "The patient's latest head ct on [**2752-9-12**] showed a slightly decreased degree of edema and mass effect, and a slight decrease in the size of the left temporal [**doctor last name **] of the right lateral ventricle, but showed unchanged mass effect and substantial edema with surrounding hemorrhage.", + "output": "The patient has a normal head ct." + }, + { + "input": "Mother did receive antibiotics in labor for positive gbs, however, she received less than 4 hours worth of antibiotics while in labor.", + "output": "The baby is not at risk for gbs bacteremia." + }, + { + "input": "Status post colectomy with mucous fistula in [**2881**] secondary to c.diff colitis, course complicated by abscess.", + "output": "Patient has no infection." + }, + { + "input": "[**known patient lastname **] is a 60 year old male who presented to osh with chest pain.", + "output": "The patient has no symptoms of acute coronary syndrome." + }, + { + "input": "At time of catheterization, she had a mean gradient to 60 mmhg.", + "output": "The patient has a normal heart." + }, + { + "input": "This infant emerged with a cry and was resuscitated with bulb suction, drying, stimulation and positive pressure ventilation.", + "output": "The patient did not require resuscitation." + }, + { + "input": "History of breast cancer; status post lumpectomy and radiation therapy approximately four years ago.", + "output": "No history of cancer." + }, + { + "input": "He has noted some swelling in his ankles.", + "output": "Patient has no ankle swelling." + }, + { + "input": "He ruled out for a myocardial infarction however a stress test was positive.", + "output": "The patient denies chest pain." + }, + { + "input": "Exam there notes her to be arousable to voice and pupil asymmetry with l>r.", + "output": "Patient has a normal neurological exam." + }, + { + "input": "Peripheral vascular disease.", + "output": "Patient has normal arteries." + }, + { + "input": "Peripheral vascular disease.", + "output": "No history of vessel disease." + }, + { + "input": "Peripheral vascular disease.", + "output": "No history of vascular disease." + }, + { + "input": "Peripheral vascular disease.", + "output": "No history of vessel disease." + }, + { + "input": "History of present illness: the patient is an 80 year old male with multiple medical problems including chronic obstructive pulmonary disease with a history of four [** location **]us intubations and respiratory distress / respiratory failure, status post recent hospitalization at [**hospital1 470**] from [**2831-10-8**] until [**2831-10-14**], for respiratory distress and pneumonia, history of left lower extremity cellulitis, history of methicillin resistant staphylococcus aureus in sputum, hypertension, and atrial fibrillation on coumadin.", + "output": "The patient has normal cardiac rhythm." + }, + { + "input": "Cpks from [**11-12**] noted a level of 756.", + "output": "The patient has a normal cpk." + }, + { + "input": "He got a cta for syncope and a mass was found in his pancrease with similar liver masses.", + "output": "No masses were found on imaging." + }, + { + "input": "Cerebrovascular accident in occipital area after a right internal carotid artery stent.", + "output": "Patient has normal brain mri." + }, + { + "input": "Esrd: status pancreas-kidney transplant [**2977**], status post cadaveric [**year (4 digits) 3097**] transplantation in [**2985**], now requiring dialysis 3x/wk 2.", + "output": "Patient has normal gfr." + }, + { + "input": "Rupture of membranes occurred at the time of delivery.", + "output": "Patient has not been pregnant." + }, + { + "input": "Rupture of membranes occurred at the time of delivery.", + "output": "Rupture of membranes was preterm and premature." + }, + { + "input": "There was also new noted bogginess and edema of the tissue below it and because of this the patient was then taken emergently to the operating room for debridement to rule out a necrotizing soft tissue infection for fournier's gangrene.", + "output": "Patient has a normal dermatologic exam." + }, + { + "input": "However, the abdominal ct demonstrated ill defined low attenuation mass near the porta he is now referred for caudate lobe resection.", + "output": "Patient has a normal appearance of the liver on ct." + }, + { + "input": "History of pulmonary embolism, etiology unknown.", + "output": "The patient has no history of pulmonary embolism." + }, + { + "input": "A gas on the nrb 7.46/23/51.", + "output": "Blood gases were not taken." + }, + { + "input": "History of present illness: this is an 89-year-old female who was found face down lying in her driveway in a pool of blood.", + "output": "Patient has normal ct torso." + }, + { + "input": "Since then, he has been npo on pn.", + "output": "The patient is eating by mouth." + }, + { + "input": "He reports nothing he did could alleviate the pain. .", + "output": "The patient denies pain." + }, + { + "input": "His first two troponins were 4.1 and 4.4.", + "output": "The patient has not experienced heart damage." + }, + { + "input": "He fractured his l midshaft femur in [**2-29**] with nail placement. .", + "output": "Patient has no acute or chronic fracture." + }, + { + "input": "He said the pain began suddenly and was excruciating.", + "output": "Patient has negative history." + }, + { + "input": "History of present illness: the patient is a 34 year old woman with a history of small cell lung carcinoma resected times two and also human immunodeficiency virus secondary to a blood transfusion.", + "output": "The patient has a normal immune system." + }, + { + "input": "A ct chest was negative for pe but notable for .... ros also notable for progressive lower extremity edema. + erythema of lower extremity.", + "output": "Patient has acute pe." + }, + { + "input": "She was transferred to [**hospital1 2116**] for further management.", + "output": "She was discharged from the hospital." + }, + { + "input": "The patient was subsequently transferred to [**hospital1 470**] on [**2928-3-19**], for cardiac catheterization.", + "output": "The patient has no cardiac issues." + }, + { + "input": "Onc was onsulted in the ed and per dr. [**last name (stitle) **], lp was done to assess for cns leukemia.", + "output": "Patient has no neurologic complaints." + }, + { + "input": "Because of her extensive brainstem damage, she gradually decreased her respiratory rate.", + "output": "Patient has normal mmse." + }, + { + "input": "In clinic his tmax was 100.7.", + "output": "Patient is febrile." + }, + { + "input": "Trauma w/u including ct c-spine and x-ray of right hip were negative for fracture/dislocation.", + "output": "Patient has a cervical spine fracture." + }, + { + "input": "[**known patient lastname 4437**] is a 57-year-old woman with no prior history of coronary artery disease; however, with a remote 15-pack-per year history of tobacco use and a family history positive for coronary artery disease who was in her usual state of health until two days prior to admission.", + "output": "The patient has a cardiac history." + }, + { + "input": "She has been intermittently developing hypoxia during coughing fits.", + "output": "The patient denies cough." + }, + { + "input": "He initially presented to the osh with fever to 102.9, and a sharp, intense, stabbing pain awoke him from sleep.", + "output": "He has been afebrile." + }, + { + "input": "She was treated with levofloxacin, no bug was cultured, she did improve somewhat.", + "output": "She receive no treatment for her symptoms." + }, + { + "input": "1 migraine ha - followed by dr [**last name (stitle) 28033**] ([**hospital1 110**]).", + "output": "The patient does not get headaches." + }, + { + "input": "The patient was transferred to the medical intensive care unit for noninvasive ventilation.", + "output": "The patient does not have breathing issues." + }, + { + "input": "Upon ems arrival the patient was normotensive and tachycardic.", + "output": "The patient was bradycardic." + }, + { + "input": "She does not have diabetes, copd, or hypercholesterolemia.", + "output": "The patient has diabetes." + }, + { + "input": "H/o pancreatitis a few years ago treated at [**hospital1 110**] 3.", + "output": "The patient has never had any abnormal swelling in the pancreas." + }, + { + "input": "Patient noted to have developed diarrhea early in [**10-16**] which persists.", + "output": "The patient has constipation." + }, + { + "input": "Dementia, pacemaker, chf, asthma, hypothyroid, gout, s/p tah for uterine cancer (s/p brachytherapy and radiation therapy)", + "output": "The patient is cognitively normal." + }, + { + "input": "Ekg revealed sinus rhythm with baseline lbbb and no acute ekg changes.", + "output": "Ekg revealed ischemia." + }, + { + "input": "Admits to alcohol use and marijuana use on the evening of the accident.", + "output": "The patient denies alcohol use." + }, + { + "input": "History: white count, bandemia, complaints of diffuse abdominal pain and dropping hematocrit.", + "output": "Patient has normal abdominal imaging." + }, + { + "input": "He was loaded with amiodarone and cardioverted.", + "output": "He has normal cardiac function." + }, + { + "input": "Obstetrical examination revealed that she was 3 cm dilated.", + "output": "Her exam revealed no dilation." + }, + { + "input": "She was transferred to the icu for tx of htn urgency/emergency and respiratory distress. .", + "output": "The patient is hypotensive." + }, + { + "input": "She was admitted to [**hospital1 58**] for pih evaluation on [**3224-2-2**].", + "output": "The patient is normotensive." + }, + { + "input": "She reports her history of type 1 diabetes mellitus starting when she was four years old.", + "output": "She has no past medical history." + }, + { + "input": "66 year-old gentleman who initially presented on [**2852-5-26**] from an outside hospital with a 3 day history of abdominal pain and one day history of fever.", + "output": "He is afebrile." + }, + { + "input": "Oxygen saturations are 92 to 95% on 2 liters nasal cannula.", + "output": "The patient has normal lung function." + }, + { + "input": "Coronary artery disease.", + "output": "Normal cardiac function, no evidence of plaque in coronary arteries." + }, + { + "input": "Coronary artery disease.", + "output": "A disease that is prevented by hyperglycemia." + }, + { + "input": "Coronary artery disease.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "She has had multiple admissions to [**hospital1 18**] with mental status changes and renal failure, thought to be secondary to narcotics overdose and decreased po intake. .", + "output": "She has normal renal function." + }, + { + "input": "Ascending aortic aneurysm, bicuspid aortic valve with mild as/ai, hypertension, h/o lyme disease, nephrolithiasis s/p lithotripsy, ?gout, mild bph, mild arthritis, s/p hernia repair", + "output": "The patient has normal heart valves." + }, + { + "input": "Pt was transferred to the bostonian, where he was noted to be lethargic with \"lab abnormalities\" today and transferred to the ed.", + "output": "Patient has normal labs." + }, + { + "input": "An electrocardiogram reportedly showed a wide complex tachycardia, then changing to narrow complex tachycardia.", + "output": "The patient had a irregular heart beat." + }, + { + "input": "\ufeffper report, the patient was found on the floor when an aide went to check on him.", + "output": "The patient was found ambulating in the home." + }, + { + "input": "Has chronic 4-pillow orthopnea with chronic dyspnea on exertion (recently walked 60-70 feet at clinic visit with dr. [**last name (stitle) **].", + "output": "Patient has normal cardiac function." + }, + { + "input": "Pt demonstrated signs of altered mental status, and the heparin was stopped until an emergent head ct could be obtained.", + "output": "Patient had normal mental status exam." + }, + { + "input": "History: baby boy [**known patient lastname 14019**] #2 is the first of twins born at 31 and 5/7 weeks and admitted to nicu for respiratory distress.", + "output": "Patient has normal vital signs." + }, + { + "input": "She had a head ct which showed multiple brain metastases.", + "output": "Patient has local disease only." + }, + { + "input": "Orthopedic consultation was obtained.", + "output": "The patient has no orthopedic issues or complaints." + }, + { + "input": "Patient was short of breath on arrival with o2sat in the 80s.", + "output": "Patient has normal oxygen." + }, + { + "input": "Aortic stenosis with mean gradient of 20 mmhg.", + "output": "Severe aortic stenosis." + }, + { + "input": "Osteoarthritis of the left hip; status post right hip replacement", + "output": "No surgical history." + }, + { + "input": "(bp 92/50), tachycardic (hr 130s), and hypoxic, tachypnic (rr in the 30s), with initial o2 sat 63% in the ed (noted to be hypoxic in the field, started on nrb prior to ed presentation).", + "output": "Vitals were within normal limits." + }, + { + "input": "Coronary artery disease, status post myocardial infarction in [**3161**].", + "output": "Patient has no atherosclerosis." + }, + { + "input": "Right carotid artery stenosis, 80% asymptomatic.", + "output": "Patient has normal coronary arteries." + }, + { + "input": "Agressive iv hydration (3l ns) and insulin gtt at 5u/hr were initiated with decrease of serum glucose to 185.", + "output": "Patient has no iv site placed." + }, + { + "input": "Following her cardiac catheterization, the patient continued to be hypoxic and hypotensive requiring dopamine and five liters nasal cannula oxygen.", + "output": "The patient tolerated the procedure well and had no complications." + }, + { + "input": "Prostate ca s/p prostatectomy 10. intermittant gout 11.", + "output": "The patient has a normal prostate." + }, + { + "input": "Found to have elevated trop at 0.39.", + "output": "The patient has no evidence of cardiac disease." + }, + { + "input": "1) type 2 diabetes 2) hypercholesterolemia 3) narcotic, benzodiazepine abuse 4) heavy smoking history.", + "output": "Patient has normal cholesterol." + }, + { + "input": "Multiple myeloma: monoclonal igg kappa, being observed by heme-onc.", + "output": "The patient has a normal blood smear." + }, + { + "input": "Then, he was noted to have a poor gag reflex with rr 4 and thus was intubated for airway protection (getting succinylcholine and etomidate).", + "output": "His respiratory rate was normal." + }, + { + "input": "67yo female with an extensive medical history including hep c/cirrhosis, t2dm, recurrent colorectal ca s/p resection x2, now with colostomy, h/o melanoma s/p xrt, and h/o recurrent sbos, transferred here from [**hospital6 4949**] with likely sbo.", + "output": "The patient does not have a bowel obstruction." + }, + { + "input": "History of present illness: this is a 76-year-old female with cad, status post cabg, and end-stage renal disease on peritoneal dialysis who was admitted to an outside hospital with left lower quadrant abdominal pain.", + "output": "The patient denies pain." + }, + { + "input": "- multiple sclerosis. - neurogenic bladder. - swallowing disorder. - schizoaffective disorder/depression. - hypothyroidism. - s/p colectomy with mucous fistula in [**2881**] secondary to c.diff colitis, course complicated by abscess, has g-tube - h/o aspiration pneumonia - h/o mrsa/vre in urine [**2882**] - gerd - anxiety vaccinations: - pneumococcal [**2889**]", + "output": "The patient has no chronic medical illnesses." + }, + { + "input": "Workup for his anemia has included bone marrow biopsy and withdrawal of immunosuppressive medications.", + "output": "He has normal blood counts." + }, + { + "input": "She received 2 units prbcs and 40mg iv protonix.", + "output": "Patient has polycythemia." + }, + { + "input": "Blood cultures and urine cultures were sent and the patient received vancomycin, levo, and flagyl.", + "output": "No medications were given." + }, + { + "input": "She was found to have an nstemi with peak troponin of 0.94.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "A nurse walking by had noted that he was tachypneic and called a code blue.", + "output": "His respiratory rate was normal." + }, + { + "input": "Contiguous axial images were obtained through the cervical spine.", + "output": "The patient had no imaging on the cervical spine." + }, + { + "input": "However, the patient did have some tachypnea in the ed, and was admitted to micu for further observation of respiratory status.", + "output": "Patient has a normal respiratory rate." + }, + { + "input": "The patient has a history of chronic diarrhea and hypokalemia.", + "output": "The patient has elevated serum potassium." + }, + { + "input": "History of congestive heart failure with an ef of approximately 30% and hypertension and hypercholesterolemia.", + "output": "The patient has normal cardiac function." + }, + { + "input": "Cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope.", + "output": "Patient complains of shortness of breath when lying flat." + }, + { + "input": "[**known patient lastname 7626**] is a 77 year old female admitted on [**2781-2-21**] with an approximately 2 day history of mental status changes and slurred speech.", + "output": "The patient is cognitively intact." + }, + { + "input": "A ct scan of the abdomen showed enlargement of the aaa to 6.3 cm.", + "output": "The patient has a normal abdominal aorta." + }, + { + "input": "In ed, he was given 10mg decadron, ceftriaxone 1g, levaquin 500mg, 3l in total of ns, had two 18g peripheral ivs placed, and received fentanyl and versed.", + "output": "Patient has normal cbc." + }, + { + "input": "Was noted to have a growing hematoma in his thighs per wife's history.", + "output": "Patient has negative physical exam." + }, + { + "input": "He has had very labile sugars and had a seizure at the age of 12 in the setting of a low glucose.", + "output": "The patient has never had a seizure." + }, + { + "input": "Central venous pressure of 18.", + "output": "The patient has reduced central venous pressure." + }, + { + "input": "Bulb suctioned, tactile stimulation, free flow oxygen provided.", + "output": "Newborn did not need oxygen delivery." + }, + { + "input": "An initial egd showed [**country 1372**] and other food from 20 to 40 cm in the esophagus.", + "output": "The patient has not had a procedure." + }, + { + "input": "43 yo male s/p fall of [**2749**]-20 feet from ladder.", + "output": "The patient did not experience a trauma." + }, + { + "input": "He had aortic gradient of 20.", + "output": "The patient has severe aortic stenosis." + }, + { + "input": "His psa rise to about 11 in [**3170**].", + "output": "Patient has normal psa." + }, + { + "input": "He was given one dose of vanc for his cellulitis. .", + "output": "No history of skin infection." + }, + { + "input": "On readmission, he was found to have an 8 point hct drop from [**8-28**] discharge to admit [**9-7**].", + "output": "Hematocrit is normal." + }, + { + "input": "No recent fevers, chills, or sputum production.", + "output": "Flu-like symptoms." + }, + { + "input": "She is s/p 2 l ns with vitals remaining stable.", + "output": "The patient did no recieve fluids." + }, + { + "input": "68f w pmhx significant for diverticulitis complicated by diverticular stricture requiring colonic stent [**2881-11-21**] and diverting loop colostomy [**2881-11-24**].", + "output": "The patient has not had abdominal surgery." + }, + { + "input": "Intermittently has phlebotomy.", + "output": "The patient does not get regular blood draws." + }, + { + "input": "The patient's baseline white count is between 30 and 60,000 with increased lymphocytes.", + "output": "The patient\u2019s white blood cell count is within normal range." + }, + { + "input": "History: baby girl \"[**known patient lastname **]\" [**known patient lastname 10753**] was a 31-5/7 week tri[** location **] delivered via cesarean section to a 31 year old mother with following prenatal screens: o positive, antibody negative, syphilis nonreactive, rubella immune, hepatitis b surface antigen negative.", + "output": "The infant was born full term." + }, + { + "input": "History: baby girl [**known patient lastname 39793**] is a one thousand four hundred and eighty gram product of a 31 week twin ivf gestation born to a 28 year old g4 p0-2-2 mother.", + "output": "Patient has normal birth weight." + }, + { + "input": "She states when she has had this pain in the past, it has been secondary to her gi bleeding.", + "output": "The patient denies history of gi bleed." + }, + { + "input": "The patient was directly admitted from home for a decreasing ability to take p.o. secondary to throat pain when swallowing.", + "output": "The patient has weight gain." + }, + { + "input": "The mass was situated in the amygdala region.", + "output": "Patient has normal brain mri." + }, + { + "input": "The patient denied any chest pain but did feel that he had increased pulsations in the neck over the last few days.", + "output": "The patient has chest pain." + }, + { + "input": "He had [**1-8**] syncopal episodes in that time and fell on back yest with residual l lower back pain.", + "output": "He has no history of lightheadedness of loss of consciousness." + }, + { + "input": "Her initial blood pressure was 197/97.", + "output": "The patient has normal blood pressure." + }, + { + "input": "Code stemi called, patient was taken immediately to the cath lab. .", + "output": "The patient has normal coronary arteries." + }, + { + "input": "He was given 2l ns and one dose of levofloxacin. .", + "output": "Patient has no dyspnea." + }, + { + "input": "She was admitted to the icu due to increased work of breathing.", + "output": "The patient has normal breathing." + }, + { + "input": "Two weeks ago, he had intense vomiting for three days and none since prior to admission in the emergency department.", + "output": "The patient has no recent history of vomiting." + }, + { + "input": "An abg was performed, which showed a ph of 7.31, pco2 of 25, and a po2 of 146 on 100% nonrebreather mask.", + "output": "The abg was within normal limits." + }, + { + "input": "The patient did note that since [**month (only) 213**], a scopolamine patch was added to his regimen and has increased his secretions significantly.", + "output": "The patient is not on any medications." + }, + { + "input": "She was recently admitted to [**hospital1 52**] for hyponatremia and flash pulmonary edema and was treated with fluid restriction and iv lasix with improvement.", + "output": "The patient normal serum osmolarity." + }, + { + "input": "She was currently thinking about whether or not she wants to have hemodialysis and/or chemotherapy for her lymphoma and is admitted at this time for further management.", + "output": "No history of cancer of renal dysfunction." + }, + { + "input": "He was sent to the [**hospital1 52**] ed for further care. .", + "output": "The patient was only evaluated as an outpatient." + }, + { + "input": "Hypercholesterolemia boderline diabetes mellitus gout obstructive sleep apnea carpal tunnel ventricluar ectopy ? h/o hepatitis a -30 yrs ago s/p hernia repair s/p tonsillectomy", + "output": "No surgical history." + }, + { + "input": "Alcohol abuse and dependence, status post several rehabilitation stays 13.", + "output": "Patient has a high global assessment of function." + }, + { + "input": "Given the progression of her symptoms and the severity of her aortic stenosis, she had been referred for surgical management.", + "output": "The patient has a normal aortic valve." + }, + { + "input": "7.5 ett secured @ 22cm @lips.", + "output": "The patient has a normal respiratory status." + }, + { + "input": "Continued to have sx of lightheadedness.", + "output": "Denies feeling dizzy or faint." + }, + { + "input": "[**name (ni) 10269**] pt is on chronic prednisone for his sarcoidosis.", + "output": "No history of inflammatory disease." + }, + { + "input": "History is limited as the patient is intubated and sedated but was obtained through thorough chart review.", + "output": "Patient has normal mmse." + }, + { + "input": "Also with recent diagnosis of diabetes, on glyburide.", + "output": "The patient does not have diabetes." + }, + { + "input": "Pt treated initially with vanc/zosyn, narrowed to vanc with above cx results.", + "output": "The patient received no medication." + }, + { + "input": "Bp in ed ranged 107-119/56-77, hr ranged 58-70.", + "output": "Vitals were unstable." + }, + { + "input": "Ef 70% mild lvh, tr mt, tr tr, mild ai 10. h/o sz d/o 11. glaucoma", + "output": "The patient has a normal sized heart." + }, + { + "input": "He was treated w/ palliative, weekly gemcitabine x 3 from [**3480-11-23**] to [**3480-12-7**].", + "output": "The patient has no medical problems." + }, + { + "input": "The patient had a ventricular fibrillation arrest.", + "output": "Patient has always been in nsr." + }, + { + "input": "56 year old woman with dm, htn, esrd on hd, recent mva, who presents with neck pain and feeling \"awful.\" she was involved in a mva two weeks ago when another car struck her car from the passenger side.", + "output": "Patient has no ckd." + }, + { + "input": "Continued on ivf (received total 2300cc), with improved bp to sbp 105-118.", + "output": "The patient would benefit from iv hydrazine." + }, + { + "input": "Of note pt states that he stopped all of his medications two years ago in order to take a more holistic approach to his heart disease.", + "output": "The patient does not require medications." + }, + { + "input": "Status post cholecystectomy.", + "output": "Patient has no abdominal scar." + }, + { + "input": "Status post cholecystectomy.", + "output": "Gall bladder is intact." + }, + { + "input": "Status post cholecystectomy.", + "output": "The patient has a gallbladder." + }, + { + "input": "Status post cholecystectomy.", + "output": "No surgical history." + }, + { + "input": "He was then brought to the emergency department of [**hospital6 **] where he complained of pain his right head, posterior neck, right shoulder, right chest tenderness, right thigh and elbow discomfort.", + "output": "The patient denies pain." + }, + { + "input": "Blood cultures eventually grew out nafcillin-sensitive staph aureus, and patient was transitioned to iv nafcillin on [**3-11**].", + "output": "Patient does not require antibiotics." + }, + { + "input": "He was given 5 mg diazepam iv push and this resolved the seizure activity.", + "output": "No history of seizures." + }, + { + "input": "His primary care physician ordered laboratories, ct and endoscopic retrograde cholangiopancreatography was attempted at the outside hospital, however, this was unsuccessful.", + "output": "The patient had an ercp." + }, + { + "input": "Vascular surgery and cardiothoracic surgery services were consulted and he was admitted to the intensive care unit on the vascular surgery service.", + "output": "He was admitted to the medical floor." + }, + { + "input": "The patient eventually returned to the emergency department on [**8-31**] secondary to fevers and mental status change.", + "output": "The patient is afebrile." + }, + { + "input": "History of polio as a child.", + "output": "The patient has no history of polio." + }, + { + "input": "End stage renal disease on hemodialysis monday, wednesday and friday.", + "output": "The patient has normal kidneys." + }, + { + "input": "He presented to clinic but had an acute decompensation going up stairs with extreme sob and was sent to ed.", + "output": "Patient has normal cardiopulmonary function." + }, + { + "input": "She has been continuing the tube feeds at 70cc/hr over 14 hours during the day (75% calculated caloric needs), but was noted to have lost 1 lb at a recent appointment.", + "output": "The patient tolerates an oral diet." + }, + { + "input": "The patient developed fever to 100.4 and was readmitted on [**5-5**] with a rll pneumonia.", + "output": "The patient is afebrile." + }, + { + "input": "He now presents for elective aortic valve repair with repair of left main outflow obstruction and coronary artery bypass grafting x 1.", + "output": "The patient has a normal heart." + }, + { + "input": "The patient initially developed neck pain while exercising on a treadmill at approximately 4 p.m. today with progressive substernal heaviness and left arm pain along with significant sweating.", + "output": "The patient no symptoms of a cardiac condition." + }, + { + "input": "He is presently off medications for 10 years without seizures.", + "output": "He suffers from seizures frequently." + }, + { + "input": "Repeat cesarean section for nonreassuring fetal heart tracing.", + "output": "The patient has not had surgery." + }, + { + "input": "He got up to rush to the restroom but fell to his knees and right to the floor.", + "output": "Patient has normal strength." + }, + { + "input": "This is a 60-year-old female who fell following dialysis.", + "output": "She has no recent syncope or trauma." + }, + { + "input": "The patient was also started on empiric antibiotics for possible pneumonia.", + "output": "Patient has no signs of acute infection." + }, + { + "input": "There was kinking of the left main at the origin of the stents.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "The patient was hypotensive to a blood pressure of 70/30, which responded to intravenous fluids after which her blood pressure rose to 100/60.", + "output": "The patient is hypertensive." + }, + { + "input": "History: this was a 57-year-old woman who entered via the emergency room after a fall.", + "output": "The patient has not had a trauma." + }, + { + "input": "The risks were explained to her and she agreed to proceed with operation to close her atrioseptal defect.", + "output": "The patient has no cardiac malformations." + }, + { + "input": "Pt is a 48 yo m with pmhx sig. for hcv cirrhosis, complicated by h/o variceal bleed, diuretic-resistant ascites, hepatic encephalopathy with suicidal and homicidal ideations who presented to osh with complaints of dizziness and home bp [**location (un) 615**] of 70/30.", + "output": "The patient is hypertensive." + }, + { + "input": "Benign prostatic hypertrophy.", + "output": "Patient has no symptoms." + }, + { + "input": "Benign prostatic hypertrophy.", + "output": "No prostate enlargement." + }, + { + "input": "Benign prostatic hypertrophy.", + "output": "Patient has normal size prostate." + }, + { + "input": "Her initla labs were: wbc of 28 with left shit: n:88 band:2 l:8 m:2 e:0 bas:0, hct 36, plts 612, 129, k 5.2, cl 90 , co2 <5, bun 2, cr 1.4, ag 32 (not corrected for albumin), abg: 7.26/14/121, lfts unremarcable other than ap 164, ua clean other than glucose, protein and keytones, lactate 1.9, normal coags.", + "output": "The patient has a normal white count." + }, + { + "input": "Prior cardiovascular evaluation, echocardiogram in [**3269-1-2**] was a limited study and showed an ejection fraction of greater than 55%, mild symmetric left ventricular hypertrophy, no known wall motion abnormalities or valvular disease.", + "output": "The patient has aortic stenosis." + }, + { + "input": "R ij pacer wire screwed in but still temporary.", + "output": "Patient has had no interventions." + }, + { + "input": "No use of blood thinners.", + "output": "The patient takes coumadin." + }, + { + "input": "Multivitamin one q.d.", + "output": "The dosage is twice a day." + }, + { + "input": "On the day of delivery the baby had a biophysical profile of [**1-20**] and a nonreactive fetal heart rate tracing.", + "output": "The patient has a normal fetal heart rate tracing." + }, + { + "input": "He was later placed on lovenox, but this was stopped for an unclear reason. .", + "output": "He is currently on lovenox." + }, + { + "input": "His bleed was due to esophageal and gastric varices secondary to portal vein compression by metastatic tumor.", + "output": "The patient has no history of malignancy." + }, + { + "input": "Apgars were 7 and 8.", + "output": "The patient has concerning apgars." + }, + { + "input": "Apgars were 7 and 8.", + "output": "Apgars were critically low." + }, + { + "input": "Comparison: chest radiograph of [**2651-11-7**].", + "output": "The patient has never had a prior chest radiograph." + }, + { + "input": "Chronic renal insufficiency with a baseline creatinine of 2.0.", + "output": "Normal renal function." + }, + { + "input": "Dm ii, on insulin -prostate ca s/p xrt [**2483**] -chronic urinary incontinence, s/p turp [**10-21**] -history of utis, including prior mrsa, klebsiella, proteus, pseuduomonas -s/p bladder rupture and repair x2, [**2-22**], [**6-23**] -atrial fibrillation, not anticoagulated due to h/o bleeding -hyperthyroidism -depression -hypertension -moderate aortic stenosis on tte [**6-/2503**] -peripheral vascular disease -h/o cva [**2499**] -severe chronic axonal neuropathy, radiculopathy and plexopathy (due to xrt) per dr. [**last name (stitle) **], with right foot drop for many years -l3 compression fracture -cataract s/p bilateral laser surgery, also with \"macular edema\" s/p dexamethasone injection -hard of hearing -left thyroid nodule, benign", + "output": "Patient has negative psh." + }, + { + "input": "Htn 3. depression 4.", + "output": "The patient has no medical history." + }, + { + "input": "This is a 68 y/o f w/ hx of end stage liver disease secondary to nash, recently admitted [**date range (1) 9291**] with ascites, [**date range (1) 10001**] with recurrent ascites and arf, who re-presents today with confusion x 2 days per family members.", + "output": "The patient has normal liver function." + }, + { + "input": "Pregnancy reportedly unremarkable.", + "output": "Pregnancy was complicated by premature rupture of membranes." + }, + { + "input": "Echocardiogram obtained showed a 1-3 cm circumferential pericardial effusion with early tamponade, question for left atrial collapse, no pulsus paradoxus noted.", + "output": "The patient has normal heart function." + }, + { + "input": "Of note, patient's serum/urine toxicology screen was significant for an ethanol level of 297.", + "output": "The patient has a negative toxicology screen." + }, + { + "input": "She is admitted to the ccu for observation.", + "output": "The patient was not hospitalized." + }, + { + "input": "Exploratory laparotomy and appendectomy for appendicitis in [**2650-1-6**] 5.", + "output": "Patient has a residual appendix." + }, + { + "input": "In the emergency department he received 2 liters of normal saline, cipro 400 mg intravenous and flagyl 500 intravenous.", + "output": "He has no indication for iv antibiotics." + }, + { + "input": "The patient was originally admitted in [**3330-12-16**] w/pna+chf, treated w/abx, ruled in w/nsstw changes, tte at that time: ef 60%, mod mr, pt offered cath-refused.", + "output": "Patient has abnormal ef." + }, + { + "input": "It has progressively gotten worse to the point that she could not take a shower or wash her face without getting sob.", + "output": "The patient has a normal functional status." + }, + { + "input": "He has had episodes of binge drinking.", + "output": "The patient has no history of substance abuse." + }, + { + "input": "No hematemesis, no bright red blood per rectum, no melena.", + "output": "The patient has symptoms of a gastrointestinal bleed." + }, + { + "input": "She reports about a 40 pound weight gain over the last few months.", + "output": "Patient has no unintentional weight loss." + }, + { + "input": "She has a swollen gland that was removed by ent last year 5.", + "output": "No surgical history." + }, + { + "input": "Some radiation to l flank, worse lying down, slightly relieved w/walking.", + "output": "The patient has no pain." + }, + { + "input": "Today [**8-1**] she is feeling well, ethylene glycol level 59, no evidence of etoh withdrawl.", + "output": "Patient has no history of alcohol use." + }, + { + "input": "Per patient who appears to understand questions but has difficulty answering, pt has had the right hemiparesis x1 wk but does not remember the details of its onset.", + "output": "The patient\u2019s neurological exam was normal." + }, + { + "input": "No fever or chills.", + "output": "The patient is febrile." + }, + { + "input": "His recent history is significant for an admission from [**8-2**] to [**8-16**] for left foot osteomyelitis for which he was treated with vancomycin and fluconazole.", + "output": "No history of bone infection." + }, + { + "input": "Pmh includes pvd, carotid disease, cri, bipolar d/o, glaucoma, diabetic retinopathy, peripheral neuropathy, s/p tonsillectomy, gerd he was advanced to a diet of thin liquids and ground consistency solids while in the icu, [**2-7**] poor dentition.", + "output": "The patient is in his usual state of health." + }, + { + "input": "Her antiplatelet antibodies were positive.", + "output": "Antiplately antibodies were negative." + }, + { + "input": "Status post polyp removal and colonoscopy in [**2884-4-24**].", + "output": "Patient has no history of colonoscopy." + }, + { + "input": "She has a strong gag and cough reflex.", + "output": "The patient has no gag reflex." + }, + { + "input": "86yo woman with recent icu admission/hospital stay for sepsis thought secondary to c. difficile colitis now returns two days after discharge with fever to 102, worsened dyspnea, and hypoxemia with desaturations to 80's%.", + "output": "Patient has normal cxr." + }, + { + "input": "[**known patient lastname 10098**] was having trouble with other muscles, especially having a harder time moving around without using a walker,a harder time keeping her head up.", + "output": "Patient had no weakness or difficulty walking." + }, + { + "input": "This 58-year-old gentleman has a history of renal cell carcinoma.", + "output": "Patient has no malignancy." + }, + { + "input": "History of present illness: the patient is an 83-year-old right-handed woman, with a history of primary lung cancer in [**2996**], status post lobectomy, as well as primary breast cancer in the right breast, status post lumpectomy in [**3006**], and left breast cancer resected in [**3008**].", + "output": "Patient has no history of surgery." + }, + { + "input": "Coronary artery disease by stress test.", + "output": "Stress test results were normal." + }, + { + "input": "This 70-year-old gentleman suffered a ruptured abdominal aortic aneurysm several years ago.", + "output": "The patient has had recent abdominal surgery." + }, + { + "input": "Chronic low back pain: pt is on continuous morphine pca.", + "output": "Patient is taking no medications." + }, + { + "input": "The infant had progressive respiratory distress and was brought to the neonatal intensive care unit.", + "output": "The infant had no symptoms and was discharged home." + }, + { + "input": "All native vessels are occluded.", + "output": "The vessels appeared normal." + }, + { + "input": "45m found on sidewalk s/p assault.", + "output": "Patient has no history of trauma." + }, + { + "input": "No recent fevers, chills or rigors.", + "output": "Patient has fevers." + }, + { + "input": "She fell backwards on stairs on the day of admission and struck her occiput, sustaining a laceration.", + "output": "Her head is normocephalic, atraumatic." + }, + { + "input": "Small cell lung cancer in the right upper lobe, status post resection.", + "output": "Patient has no cancer history." + }, + { + "input": "[**known patient lastname **] is a 60 year old male with known coronary artery disease.", + "output": "Patient has no atherosclerosis." + }, + { + "input": "Intubated in field for lethargy, transferred to [**location (un) **]-[**doctor first name **].", + "output": "The patient is not intubated." + }, + { + "input": "The patient has been acting odd by family report since [**2675-7-21**].", + "output": "Patient is at baseline mental status." + }, + { + "input": "Allergic rhinitis 12.", + "output": "No known allergies." + }, + { + "input": "Cellulitis history, positive mrsa colonization.", + "output": "Patient has normal exam." + }, + { + "input": "The patient has received 500 mg of intravenously levofloxacin given at the outside hospital, and the patient has received intravenous vancomycin as well as ceftazidime in our emergency department.", + "output": "The has not received antibiotics." + }, + { + "input": "10. h/o panniculitis - [** location **]us episode [**8-21**] with infected hematoma and complications resulting in icu stay afterwards.", + "output": "No history of hospitalizations." + }, + { + "input": "Coronary artery disease, status post myocardial infarction in [**2758-3-16**].", + "output": "No history of cardiac disease." + }, + { + "input": "Balloon dilitation of the proximal trachea with excision of granulation tissue on anterior tracheal wall, iddm, cad, mi, pna [**2630**]", + "output": "Patient has normal tracheal findings." + }, + { + "input": "[**date range (3) 12197**] at [**hospital3 922**] hospital for respiratory distress, pleural effusions, pseudomonas urinary tract infection.", + "output": "The patient has no history of respiratory problems." + }, + { + "input": "On the day prior to discharge his pertinent lab information included a white count of 7,000, hematocrit 25, platelet count 128,000, electrolyte profile of 142 sodium, 3.9 potassium, 106, 27 co2, 106 chloride, bun & creatinine of 20 and 1.1, 90 serum glucose.", + "output": "The patient is in renal failure." + }, + { + "input": "Pancytopenia, uncertain etiology 6.", + "output": "The patient has normal blood counts." + }, + { + "input": "Inflammatory arthropathy 7.", + "output": "The patient has normal joints." + }, + { + "input": "He was recently readmitted and discharge on [**3264-5-8**] with fever and pseudocyst infection, in which he was discharge home on fluconazole and augmentin.", + "output": "He had no recent antibiotic use." + }, + { + "input": "At 48 hours with negative cultures, antibiotics were discontinued.", + "output": "The patient had a positive blood culture." + }, + { + "input": "The patient was started on a beta blocker, nitroglycerin, heparin, and integrilin and taken emergently to the catheterization laboratory.", + "output": "Patient requires no intervention." + }, + { + "input": "She has albuterol at home but does not use it much.", + "output": "Patient has normal lungs." + }, + { + "input": "On arrival, temperature was noted to be 92.0 f.; pulse 70; blood pressure 146/69; respiratory rate 16 on assisted control ventilation with total volume of 700, 100% fio2 with peep of 5.", + "output": "The patient is febrile." + }, + { + "input": "She was discharged home 4 days ago.", + "output": "The is in the icu." + }, + { + "input": "She denies neck pain or headaches at the time of stroke onset.", + "output": "Patient has a normal neurologic exam." + }, + { + "input": "History of present illness: the patient is a 59-year-old male with a history of hypertension and question of an mi per the patient in the past, who underwent a stress test in [**2910-4-1**] with borderline ekg changes, no chest pain and achieved 84% maximal heart rate.", + "output": "The patient has no coronary calcifications." + }, + { + "input": "He also had right posterior pleuritic chest pain consistent with prior episodes of pneumonia.", + "output": "The patient has never had a pulmonary infection." + }, + { + "input": "His hct, however, dropped from baseline 36 to 26 on admission to 22 this morning with inr 3.4.", + "output": "The patient is not anemic." + }, + { + "input": "He says his clothes are fitting loosely and has apparently lost a lot of weight in the last month or two.", + "output": "The patient has weight gain." + }, + { + "input": "Last hemoglobin a1c was on [**3167-11-14**] 7.3.", + "output": "Hemoglobin a1c was within normal limits." + }, + { + "input": "This pregnancy was complicated by [** location **] which resolved.", + "output": "Patient is not pregnant." + }, + { + "input": "No dizziness, no lightheadness, no pain at the catheterization site.", + "output": "The patient has pain." + }, + { + "input": "States that she had a similar admission with similar symptoms but this time she does not have a headache.", + "output": "She complains of severe headache." + }, + { + "input": "Intact moro but weak suck.", + "output": "The patient has a strong suck." + }, + { + "input": "The patient was taken to an outside hospital where he was chest pain free and was transferred to [**hospital1 188**] for cardiac catheterization.", + "output": "The patient has acute chest pain." + }, + { + "input": "He was put on aggrenox, which he has been taking regularly.", + "output": "The patient is not taking medication." + }, + { + "input": "Questionable chronic obstructive pulmonary disease on home o2 2 liters with a fev1 of 45%, fvc of 53%.", + "output": "Normal lung function." + }, + { + "input": "The patient was discharged home doing well until four days prior to admission when he presented to the emergency room with shortness of breath and fevers.", + "output": "The patient is afebrile." + }, + { + "input": "Routine wound care continued per prior recommendations.", + "output": "The patient has no open wounds." + }, + { + "input": "1)cryptogenic cirrhosis ([**3-6**] nash vs. alpha-1-antitrypsin deficiency), meld score 21.", + "output": "The patient has a normal liver." + }, + { + "input": "During his [** location **]us work-up for a kneee replacement, he was found to have critical as and a dilated ascending aorta.", + "output": "The patient has a normal heart and heart valves." + }, + { + "input": "While in the ed, found to be in atrial flutter at 150 with 2:1 block and bp 170/110.", + "output": "Normal cardiac function." + }, + { + "input": "The abx was discontinued on the floor as he had a chronic in-dwelling foley and he was asymptomatic.", + "output": "Patient has not been treated with antibiotics." + }, + { + "input": "Benign prostatic hyperplasia #. h/o urinary obstruction #.", + "output": "Patient has no gu complaints." + }, + { + "input": "He was treated with haldol, ativan, risperidone, benadryl, and cogentin.", + "output": "The patient is not taking any antipsychotic medications." + }, + { + "input": "Cpap was attempted in ed, but patient refused and became agitated.", + "output": "The patient is calm." + }, + { + "input": "She incurred increasing sacral pain and was evaluated by pain clinic and placed on several narcotics inclusive of oxycontin and ms contin. -\t[**3329-5-23**], she sought evaluation in the ew at [**location 1590**] [**state 1591**]hospital for increased pelvic pain.", + "output": "Patient has not taken medications." + }, + { + "input": "He denies any unusual foods.", + "output": "The patient ate a strange food." + }, + { + "input": "On arrival to the floor, hr 94 bp 127/74 94% 2l, chest pain free with nitro drip at 2.", + "output": "Patient has tachycardia." + }, + { + "input": "Normal fetal heart tones.", + "output": "There is slow fetal heart rate." + }, + { + "input": "Pt also reported that he had been coughing x3 days, producing white phelgm, and had been in contact with a granddaughter recently [**name2 (ni) **] with influenza. .", + "output": "The patient has no symptoms." + }, + { + "input": "At the age of 12 years old, the patient, apparently, went into respiratory failure for which she ended up to be intubated multiple times until she had a tracheostomy tube placed.", + "output": "The patient has no history of lung conditions." + }, + { + "input": "He was, at that time, transferred to the neonatal intensive care unit for further evaluation.", + "output": "He did not require further evaluation and was discharged home." + }, + { + "input": "Electrocardiogram was repeated and the patient was noted to be in aivr.", + "output": "Patient has nsr." + }, + { + "input": "The pain did not radiate and was not accompanied by subjective palpitations or light headedness.", + "output": "The patient had syncope associated with the pain." + }, + { + "input": "She had a fever to 100.7 degrees fahrenheit in labor.", + "output": "Patient has normal vital signs." + }, + { + "input": "Was transferred here for expedited workup of rml mass.", + "output": "Normal respiratory function." + }, + { + "input": "Please see the [** location **]usly dictated summary for his [**4-21**] to [**3169-5-15**] [**hospital1 68**] neonatal intensive care unit admission.", + "output": "The patient did not require high level critical care." + }, + { + "input": "History of present illness: briefly, this is a [**age over 90 **]-year-old male who lives in a nursing home who came to the er after being noted to have a black toe at his nursing home.", + "output": "His feet appear normal." + }, + { + "input": "Per daughter (his primary care giver and proxy) his baseline mental status is a/o x 1 and able to eat with assistance.", + "output": "The patient is alert and oriented x 3." + }, + { + "input": "Coronary artery disease, status post myocardial infarction with stent to the left circumflex in '[**19**].", + "output": "No history of cardiac disease." + }, + { + "input": "Dm type i; a1c 8.2 in [**10-30**]; no h/o dka, but multiple ed visits for hypoglycemia 2.", + "output": "The patient has consistently normal blood sugars." + }, + { + "input": "History: [**first name8 (namepattern2) **] [**known patient lastname **] was born at 38 3/7 weeks gestation by cesarean section for failure to progress.", + "output": "The patient was delivered vaginally." + }, + { + "input": "History: this is a former 30-5/7 week male newborn who was admitted to the neonatal intensive care unit of management of prematurity.", + "output": "The patient is full term." + }, + { + "input": "He has been dizzy a few times since.", + "output": "Normal neurological function." + }, + { + "input": "He denies nausea, vomiting, photosynthesis, sometimes saw a spot in the middle of his vision, which slowly grew.", + "output": "Patient has normal vision." + }, + { + "input": "- hx complete heart block status post pacemaker in 03/[**2654**].", + "output": "The patient has normal cardiac rhythm." + }, + { + "input": "4. h/o tias in [**3179**] and [**5-/3184**] with known carotid stenosis 5.", + "output": "No blockage of the carotid arteries." + }, + { + "input": "His inr was found to be 5.2, so he was given 4 units of fresh frozen plasma, 3 units of packed red blood cells, and 5 mg of intravenous vitamin k, and 40 mg of protonix.", + "output": "The patient has a normal inr." + }, + { + "input": "This is a 59 y/o haitian male with a pmhx sig only for recently diagnosed dmii who presented to an osh on [**7-10**] with 3 day hx of worsening ms/confusion with visual hallucinations.", + "output": "The patient is at baseline mental status." + }, + { + "input": "A bedside transthoracic echocardiogram was performed which showed a left ventricular ejection fraction of 15%, akinesis of the septal, apical and inferior walls.", + "output": "Patient has normal lv function." + }, + { + "input": "Day of admission, pt was delirius, and pulled out his peg tube.", + "output": "The patient was at baseline mental status." + }, + { + "input": "In the micu, the patient was transfused three units packed red blood cells.", + "output": "The patient has normal blood counts." + }, + { + "input": "In the ed, the pt was asymptomatic.", + "output": "The patient complained of severe pain in the emergency department." + }, + { + "input": "She received 400 cc of normal saline in the ed and no blood products prior to transfer to the micu.", + "output": "The patient was on a massive transfusion protocol by the time she was transferred to the icu." + }, + { + "input": "The patient was discharged to [**hospital 6182**] rehabilitation.", + "output": "The patient was discharged home." + }, + { + "input": "An mri of the c-spine and l-spine in addition to an xr of the thoracic spine were obtained.", + "output": "There is no concern for spinal pathology." + }, + { + "input": "This pregnancy was originally a triplet gestation that was reduced to twins.", + "output": "Patient is not pregnant." + }, + { + "input": "Denies etoh use. .", + "output": "Patient has elevated blood alcohol concentration." + }, + { + "input": "He denies nausea, vomiting, arthralagias, fever, dysuria, or urgency.", + "output": "Patient has dysuria." + }, + { + "input": "In the ed, she was hypertensive to 260/120.", + "output": "Patient has no acute medical condition." + }, + { + "input": "Partial hysterectomy secondary to fibroids 12.", + "output": "Patient has not had surgery." + }, + { + "input": "Past medical history: significant for history of coronary artery disease with stable angina, status post catheterization one year ago.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Pt was involved in mvc and sustained multi[** location **]juries to his face, left eye and brain", + "output": "Patient has no facial injury." + }, + { + "input": "No abdominal pain/ diarrhea.", + "output": "The patient peritonitis." + }, + { + "input": "Prior history of upper gastrointestinal bleed at [**hospital6 393**].", + "output": "Patient has normal egd." + }, + { + "input": "Course also noted for hypertension, hyperglycemia.", + "output": "The patients glucose has been normal." + }, + { + "input": "The only neurologically suppressive medication he had been given prior to transfer was succinylcholine for the intubation.", + "output": "He received no neurologically suppressive medication before transfer." + }, + { + "input": "In the [**name (ni) **], pt's bp was 220-260/120-160.", + "output": "The patient has normal blood pressure." + }, + { + "input": "His cr at discharge was 3.3.", + "output": "The patient has a normal creatinine." + }, + { + "input": "His hct in the ed was found to be 20.", + "output": "The patient has normal hemagloblin." + }, + { + "input": "This twin was breech with significant bruising.", + "output": "The patient had a normal delivery." + }, + { + "input": "She then had a cardiac catheterization done on the [**7-11**] that showed mitral valve area of 0.77 cm squared with severe mitral stenosis, moderate pulmonary hypertension, ejection fraction of 60 percent.", + "output": "Patient has abnormal ef." + }, + { + "input": "History of present illness: the patient is a 79 year old male with a past medical history significant for coronary artery disease, hypertension, hypercholesterolemia, end-stage renal disease, on hemodialysis, and subdural hematoma diagnosed in [**3377-8-5**].", + "output": "The patient has normal lipids." + }, + { + "input": "Receiving ns at 150cc/hour; levofloxacin at osh.", + "output": "The patient did not receive fluids." + }, + { + "input": "She got 2 mg of decadron intravenously.", + "output": "Patient is not on medication." + }, + { + "input": "Diastolic dysfunction with a history of congestive heart failure and left ventricular ejection fraction on an echocardiogram.", + "output": "The patient has a normal heart." + }, + { + "input": "In summary, the cath showed a discrete lesion of the lad 60 percent, sever aortic stenosis with a mean gradient of 37, and a calculated valve area of 0.7 cm2, an ef of 61 percent, with no regional wall motion abnormalities.", + "output": "The patient has a normal heart." + }, + { + "input": "Stents were placed at the left main, mid right coronary artery, and the posterior descending artery on [**2-27**] during her second cardiac catheterization.", + "output": "Patient has not had an intervention." + }, + { + "input": "History of bulemia 5.", + "output": "The patient has no history of eating disorder." + }, + { + "input": "Ct chest/abdomen/pelvis was negative for pe but revealed a 2cm pericardial effusion and bilateral pleural effusions. .", + "output": "Ct of chest was unremarkable." + }, + { + "input": "She had a one minute loss of consciousness and was found lying on back.", + "output": "The patient remained conscious." + }, + { + "input": "Apgars were 6 and 7.", + "output": "Patient is a toddler." + }, + { + "input": "She also has hypokalemia with her diuresis and was on spironolactone.", + "output": "The patient has normal volume." + }, + { + "input": "Diastolic congestive heart failure with echocardiogram in [**2905-9-21**] showing an ejection fraction of 60% with mild left ventricular hypertrophy.", + "output": "Patient has a low ef." + }, + { + "input": "The small left pleural effusion is stable.", + "output": "The patient has no abnormal fluid in the lung." + }, + { + "input": "Patient is a 50-year-old man with a history of large cell lymphoma, for which he underwent r-chop chemotherapy most recently in [**3087-7-15**].", + "output": "The patient has no history of malignancy." + }, + { + "input": "Patient denies the use of etoh or any illegal substances prior to the fall.", + "output": "Patient has not had recent trauma." + }, + { + "input": "The infant was born weighing 3100 grams.", + "output": "The infant was small for gestational age." + }, + { + "input": "She was seen in the ed yesterday for complaints of left arm jerking/weakness and bilateral le jerking for this yesterday and told that it may have been due to low magnesium, which was 1.2.", + "output": "Patient has normal neurological exam." + }, + { + "input": "Serologies for the hepatitis a, b, and c viruses were negative; the patient was found to have a coombs positive hemolytic anemia at that time.", + "output": "Patient has had prior hepatitis." + }, + { + "input": "Pregnancy also complicated by mild gestational diabetes.", + "output": "Patient has no medical condition." + }, + { + "input": "On [**5-13**], pt's wbc again dropped (consistent with chemo) and he had a fever to 102.2 so cefepime and flagyl were restarted. .", + "output": "The patient was afebrile." + }, + { + "input": "Transient ischemic attack in [**2661**] and [**2672**].", + "output": "Patient has no neurologic history." + }, + { + "input": "He had noted doe - inability to ambulate more than 10 steps without getting short of breath or weak in the arms and legs.", + "output": "He denies difficulty breathing." + }, + { + "input": "The patient reports a temperature of 101.5 measured at home for the two days prior to admission with some nausea at home, however, the patient denied vomiting, diarrhea.", + "output": "The patient was afebrile." + }, + { + "input": "R femoral quinton catheter was placed.", + "output": "The patient received a peripheral venous catheter." + }, + { + "input": "The patient has an a-v fistula placed at outside hospital with subsequent revisions on two occasions.", + "output": "The patient has normal renal function." + }, + { + "input": "Fragments of popcorn were removed from the left lower lobe rhonchus and copious white secretions were noted to be within the trachea and lungs bilaterally.", + "output": "The patient has clear lungs." + }, + { + "input": "Status post craniotomy for an intracranial aneurysm.", + "output": "The patient has no history of aneurysm." + }, + { + "input": "Mitral valvular disease status post annuloplasty diabetes type 2, chf, ef of 35%-40% 2/2 ischemic cardiomyopathy afib subglottic stenosis following multi[** location **]tubations (peri-cabg)-->stridor hypercholesterolemia hemorrhoids", + "output": "No history of cardiac disease." + }, + { + "input": "Found to have right homonymous hemianopsia and work up found left parietal -occipital lesion.", + "output": "No visual complaints." + }, + { + "input": "Not yet evaluated/listed fro transplant. -hepatocellular carcinoma--diagnosed on [**2537-8-7**] biopsy -prostate cancer s/p prostatectomy -hemorrhoids -hypertension--diet controlled", + "output": "The patient has no history of cancer." + }, + { + "input": "History of present illness: baby boy [**known patient lastname 8494**] was the 899 gram product of a 25 and 6/7 weeks gestation born to a 34 year old g2, p0, now 1 mother.", + "output": "Patient had normal birth weight." + }, + { + "input": "He was found to be auto[** location **]g at 15.", + "output": "The patient is a female." + }, + { + "input": "He had [**initials (namepattern4) **] [**last name (namepattern4) 3576**] coma scale when the paramedics found him and he was intubated in the field and transferred to [**hospital 909**] hospital where by verbal report he was reintubated secondary to concern of esophageal intubation.", + "output": "Patient has normal respiratory function." + }, + { + "input": "All the mesenteric vessels and the renal arteries originate from the true lumen.", + "output": "The patient has a normal aorta." + }, + { + "input": "On review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools.", + "output": "The patient is has a history of gi bleeds." + }, + { + "input": "No significant findings on event monitor per [**doctor last name 1775**].", + "output": "The patient." + }, + { + "input": "No change in exerciese tolerance, no leg swelling, or symptoms of claudication.", + "output": "The patient has decreaesd exercise tolerance." + }, + { + "input": "At that time respiratory effort adequate with respiratory rate in the 30s.", + "output": "Patient was in respiratory distress." + }, + { + "input": "A thyrogen scan did not reveal iodine uptake.", + "output": "The patient has no history of thyroid disease." + }, + { + "input": "Bladder sphincter surgery in [**2753**].", + "output": "The patient has never had surgery." + }, + { + "input": "He was treated with vancomycin and it resolved.", + "output": "The patient has vancyomycin resistent enterococcus." + }, + { + "input": "When he got home he developed a r frontal headache.", + "output": "He developed no pain." + }, + { + "input": "An egd revealed a grade 1 varices, and gastric emptying study revealed delayed gastric emptying.", + "output": "The patient has normal gastric emptying." + }, + { + "input": "Coronary artery disease status post myocardial infarction in [**2721**] and [**2723**].", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Cytogenetics were notable for +8. - initially treated with 7 and 3 (idarubicin and ara-c, however, day 14 marrow showed persistent blasts. he was enrolled in the randomized trial of hidac with or without clofarabine and began treatment on [**2909-6-17**]. this course was c/b fevers to 105, rashes, lfts 300s. - [**2909-8-13**]: bone marrow showed a mildly hypercellular erythroid dominant bone marrow with no morphologic evidence of leukemia. - [**2909-10-7**]: received single cycle dacogen due to donor issues - [**2909-12-26**]: started reduced intensity conditioning with fludarabine-busulfan and atg. day 0 was [**2910-1-2**]. he received one bag cd34/kg x 10e6= 8.40. his post-transplant course was uncomplicated with the exception of a mild transaminitis. he was discharged to the apartments on day +14. donor info: recipient is cmv(+), abo:opos donor nmdp#5188-3407-2 male cmv(-), abo:apos.", + "output": "No history of cancer." + }, + { + "input": "She denies any subsequent episodes of brbpr, hematochezia.", + "output": "There is no concern for a gastrointestinal bleed." + }, + { + "input": "When it did not remit by saturday, he sought medical attention in the ed.", + "output": "The patient did not have any symptoms." + }, + { + "input": "Catheterization at that time showed no significant coronary artery disease.", + "output": "Patient has abnormal coronary imaging." + }, + { + "input": "Coronary artery disease status post myocardial infarction.", + "output": "Patient has normal echo." + }, + { + "input": "At 29 weeks afi of 46, estimated fetal weight in 98th percentile.", + "output": "Patient has a negative urine b hcg." + }, + { + "input": "During proceedure, patient was sedated with versed and fent.", + "output": "The patient has not received an opiate." + }, + { + "input": "Type 1 diabetes since age 13; with triopathy.", + "output": "The patient has had no neuropathy." + }, + { + "input": "On [**3300-10-25**] (on the day prior to admission), the patient was being wheeled by her granddaughter down a ramp and fell out of her wheelchair.", + "output": "Patient has normal physical exam." + }, + { + "input": "Creatinine ranged from 1.5 to peak 2.3.", + "output": "The patient has normal kidney function." + }, + { + "input": "She was electively admitted for surgery.", + "output": "She was admitted for emergency surgery." + }, + { + "input": "Breathing slows down when asked to calm down. .", + "output": "The patient unable to slow down breathing rate." + }, + { + "input": "[**3028**] vein ligation r leg", + "output": "No history of surgery on veins in the legs." + }, + { + "input": "Transfer to [**hospital1 22**] was requested given patient's decline in mental status requiring intubation.", + "output": "Patient has normal o2 sats." + }, + { + "input": "History of present illness: the patient is a 76-year-old male who presented to [**hospital6 33**] with chest pain on [**2653-7-31**] and was transferred to the [**hospital1 341**] for management of an acute myocardial infarction.", + "output": "The patient has no cardiac symptoms." + }, + { + "input": "On his prior [**year (2 digits) **] with nstemi, he was conservatively managed with bb, asa and heparin gtt without gpiib/iiia given his thrombocytopenia and varices.", + "output": "Patient has normal coronary vessels." + }, + { + "input": "Course notable for knee bursa aspiration of approximately 10 cc of serosanguinous fluid with gram stain with many gram positive cocci in clusters.", + "output": "Patient has normal knee." + }, + { + "input": "Copd on 3.5 l o2 at home and s/p multiple admissions and intubations for flares-fev1/fvc 35% 2.", + "output": "Patient has no dyspnea." + }, + { + "input": "He was given vancomycin, levofloxacin, and piperacillin-tazobactam.", + "output": "The patient does not have an infection." + }, + { + "input": "History of present illness: the patient is a 41-year-old male brought to the trauma resuscitation bay following a motor vehicle crash involving his vehicle crashing into a house.", + "output": "Patient has no injuries." + }, + { + "input": "Vs were t 96.0, hr 65, bp 115/46, rr 12, 100% on 3lnc.", + "output": "Patient has fever." + }, + { + "input": "On hospital day four, his creatinine had elevated to 1.5 and they stopped his diuresis.", + "output": "His creatinine remained stable." + }, + { + "input": "Symptoms have been increasing over the past 6-8 months.", + "output": "Symptoms improved over the past few months." + }, + { + "input": "He was taken to a referring hospital where he was later transfered to [**hospital1 22**] with a c1 c2 subluxation.", + "output": "The patient has normal cervical spine alignment." + }, + { + "input": "[**known patient lastname 1001**] is a 50 y/o f with iddm type 1 who presents today with nausea and vomiting.", + "output": "No history of hyperglycemia." + }, + { + "input": "Right rotator cuff tear.", + "output": "Patient has no shoulder pain." + }, + { + "input": "Coronary artery disease. (a) status post myocardial infarction in [**2973**]. (b) status post coronary artery bypass graft surgery in [**2973**] with a left internal mammary artery to the left anterior descending artery, saphenous vein graft to obtuse marginal, and saphenous vein graft to right coronary artery.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "He denies cp, back pain, sob, n/v, f/c.", + "output": "Patient has multiple symptoms." + }, + { + "input": "The patient had been experiencing increasing lethargy and difficulty breathing at his skilled nursing facility.", + "output": "The patient has no skilled nursing needs." + }, + { + "input": "He had an echocardiogram during catheterization which showed no signs of effusion or tamponade.", + "output": "The patient has a large pericardial effusion." + }, + { + "input": "Heart rate was noted to be less than 100 despite positive pressure ventilation and he was intubated at approximately 2 minutes of life with subsequent rapid improvement in heart rate and color.", + "output": "The delivery was uncomplicated and the infant required not resuscitation." + }, + { + "input": "His blood pressure dropped to 85/63 and he received 6 l ivf.", + "output": "Patient has normal vital signs." + }, + { + "input": "Diabetes mellitus diagnosed in [**2619**] asthma rcc, s/p right nephrectomy [**2612**] s/p ccy depression post traumatic stress disorder; iron deficiency anemia hypertension hyperlipidemia schizoaffective d/o h/o breast and le skin ulcers (?necrobiosis lipoidica) cad (mi [**48**] yrs ago)", + "output": "Patient has never had cancer." + }, + { + "input": "The events last about two minutes, and when they are over, she looks around as it was the first time she was in her house.", + "output": "The patient maintains normal mental status." + }, + { + "input": "He was referred for a stress echocardiogram that was abnormal with anterior septal hypokinesis and a decreased ejection fraction followed with serial echocardiograms over the course of the years and with improved ejection fraction over that time.", + "output": "The patient does not have congestive heart failure." + }, + { + "input": "Apgars were 9 at 1 minute and 9 at 5 minutes.", + "output": "The patient had low apgar scores." + }, + { + "input": "In the ed at [**hospital1 **] c/o back pain given iv morphine and transferred to tsicu.", + "output": "The patient denies back pain." + }, + { + "input": "Denies cp, n/v, urinary symptoms.", + "output": "The patient has a urinary tract infection." + }, + { + "input": "He was at a hotel today and fell.", + "output": "He has no history of falls." + }, + { + "input": "The pregnancy was complicated by development of preeclampsia resulting at maternal admission at 22 weeks gestation.", + "output": "Pregnancy was uncomplicated." + }, + { + "input": "History of present illness: this is a 78 year old man with a history of aml and cll who has been treated with supportive care and now presents with febrile neutropenia, unclear etiology, with abrasion on his right arm, right hand and a cut.", + "output": "Patient has normal cbc." + }, + { + "input": "Gerd 10. s/p cholecystectomy for gallstones 11.", + "output": "No surgical history." + }, + { + "input": "At 1 am on am [**12-29**], she had a bg of 45 and required a d 10 gtt.", + "output": "The patient has a stable glucose level." + }, + { + "input": "Patient was given 500cc ns, had basic labs (no imaging).", + "output": "The patient has no labs." + }, + { + "input": "Additionally, his statin was stopped in the past due to myalgias.", + "output": "Patient has normal ldl." + }, + { + "input": "He also has a history of hyperparathyroidism for which he was at a scheudled appointment with his surgeon on day of admission.", + "output": "He has no history of endocrine problems." + }, + { + "input": "The pt was also found by cxr to have a large consolidation in the left lower lobe with small bilateral pleural effusions, and evidence of pulmonary edema. .", + "output": "Patient has normal cxr." + }, + { + "input": "Ua with some wbcs and nitrate.", + "output": "Urinary analysis was normal." + }, + { + "input": "He was noticed to have a rise in his creatinine and while awaiting cardiac clearance and a renal consultation, the patient remained in the intensive care unit.", + "output": "Patient has normal chem 7." + }, + { + "input": "In addition to the maternal diabetes with two episodes of dka during the pregnancy, the mother's pregnancy was complicated by hyperemesis gravidara requiring ........ since 8-10 weeks of age.", + "output": "The pregnancy was uncomplicated." + }, + { + "input": "No orthopnea or le swelling.", + "output": "The patient\u2019s ankles are swollen." + }, + { + "input": "Her incision was healing well and her white count was at 29,000.", + "output": "The patient has no surgical history." + }, + { + "input": "She did c/o headache today, no neck stiffness, no vision change.", + "output": "The patient has nuchal rigidity." + }, + { + "input": "Apgars were 7 at one and 7 at five minutes respectively.", + "output": "The infant was still born." + }, + { + "input": "She reports feeling tired and weak since her discharge from [**hospital **] rehab.", + "output": "She denies fatigue or weakness after discharge from rehab." + }, + { + "input": "On arrival here sbp ranged from 80s-90s, patient was mentating and received a 6th liter of ivf.", + "output": "Patient is hypertensive." + }, + { + "input": "He had a right ij tlc placed.", + "output": "No indication for central line." + }, + { + "input": "At that time had no cp, n/v, sob, diaphoresis.", + "output": "The patient complains of chest pain." + }, + { + "input": "A ct scan of the abdomen was obtained which per report showed significant ascites, dilated small and large bowel, and possible wall thickening of the colon, without evidence of perforation.", + "output": "Ct scan showed no abnormalities." + }, + { + "input": "Porcelain gallbladder shown on ct in [**2899-5-5**], iron deficiency anemia, insulin dependent diabetes mellitus with peripheral neuropathy, status post many foot infections, peripheral vascular disease with bilateral claudication, hypertension, coronary artery disease, status post coronary artery bypass graft, recurrent epistaxis, degenerative joint disease of the right hip and bilateral cataracts.", + "output": "No history of cardiac disease." + }, + { + "input": "History of present illness: briefly, this is a 74-year-old male with a history of diabetes, and hypertension, and high cholesterol who presented to an outside hospital with shortness of breath.", + "output": "The patient has normal cholesterol." + }, + { + "input": "Cirrhosis -> thought secondary to eating disorder.", + "output": "Normal hepatic function." + }, + { + "input": "The patient's chest x-ray on admission was negative, and a magnetic resonance imaging/magnetic resonance angiography done showed no acute infarction and no flow changes in the arteries.", + "output": "The patient had an acute stroke." + }, + { + "input": "Nscl ca: non operable, no hx of chemotherapy as per family, s/p xrt, s/p radioactive seed implantation, initial bronch in [**2892**] was negative for malignancy, diagnosed in [**2895**] after mass identified on cxr, pet positive nodule, also positive thyroid nodule 2.", + "output": "Patient has no cancer history." + }, + { + "input": "He has been followed continuously and was noted to have endovascular leak.", + "output": "The patient was lost to follow up." + }, + { + "input": "70 who presents for renal transplant admission.", + "output": "The patient has normal kidneys." + }, + { + "input": "Wbc elevated to 14, lactate 3.0.", + "output": "All blood work was normal." + }, + { + "input": "Cardiovascular: an intermittent murmur has been noted.", + "output": "The patient has normal heart sounds." + }, + { + "input": "Prior to delivery, the measurements of the mother's fundus appeared to be size greater than dates.", + "output": "The mother's fundus corresponded to estimated gestational age." + }, + { + "input": "With esmolol gtt, sbp decreased from 180 to 140.", + "output": "The patient is hypotensive." + }, + { + "input": "History of coronary artery disease, status post mi.", + "output": "The patient has no cardiac history." + }, + { + "input": "Therefore, she had to have a resection for oncological purposes.", + "output": "She has no history of tumors." + }, + { + "input": "Also, she failed extubation and underwent a percutaneous tracheostomy on the [**6-12**], and several bronchoscopies were significant only for chronic inflammatory changes.", + "output": "Normal respiratory function." + }, + { + "input": "At 1:00 p.m. her mental status declined, and she was intubated.", + "output": "Patient has normal mmse." + }, + { + "input": "No maternal fever or other critical evidence of chorioamnionitis.", + "output": "The mother had a fever of 100.4f." + }, + { + "input": "Diabetes type 1 diagnosed at age 18 months with retinopathy, neuropathy, nephropathy, status post multiple laser surgeries, as well as bilateral vitrectomies, and chronic kidney disease.", + "output": "The patient has a normally functioning pancreas." + }, + { + "input": "Pmh: s/p cabg [**3466-10-26**], s/p mi, h/o post op af, s/p flutter ablation [**3466-10-31**], h/o campylobacter in stool, mrsa sternum, cri, ^chol, hypothyroid, djd, colitis, s/p r tkr, s/p tah, s/p [**doctor last name 24469**],cardiomyopathy w/ ef 30%.", + "output": "No past medical history." + }, + { + "input": "He was transfused one unit prbc and stated on an octreotide gtt, and transferred to [**hospital1 68**] for further evaluation.", + "output": "The patient is hemodynamically stable." + }, + { + "input": "Had episodes of diarrhea every 3-4 minutes although eventually was not productive of significant volumes.", + "output": "The patient is constipated." + }, + { + "input": "He was transferred to [**hospital1 22**] for further evaluation and management.", + "output": "He needed no further treatment." + }, + { + "input": "Pt reports epigastic \"burning\" since the last episode of emesis, non-radiating.", + "output": "The patient denies pain." + }, + { + "input": "The infant appeared to be approximately 35 weeks gestational age.", + "output": "The infant is full term." + }, + { + "input": "She was unable to take po medications because of these symptoms including her aeds.", + "output": "The patient does not need to take medications." + }, + { + "input": "The patient has had chf and doe for years, but has been experiencing severe worsening of symptoms over the past month.", + "output": "The patient has a normal heart." + }, + { + "input": "Nuclear imaging revealed a severe, partially reversible, lateral inferior defect.", + "output": "Imaging shows no abnormality." + }, + { + "input": "Of note, cr 1.2 on admission, rose to 1.6 by time of transfer.", + "output": "The patient\u2019s creatinine remained the same during admission." + }, + { + "input": "History of present illness: the patient is a 57 year-old male with no known heart disease in the past who presented with burning sensation substernally thursday prior to admission, which was relieved at rest.", + "output": "Patient has a history of coronary artery disease." + }, + { + "input": "Ekg with chronic st segment changes,inferior infarct, anterior st changes, troponin 0.4.", + "output": "The patient has no history of myocardial ischemia." + }, + { + "input": "Pt has no hx of gallstones, no hx of alcohol use; he has been taking tylenol (6 extra strength tabs/day).", + "output": "The patient denies tylenol use." + }, + { + "input": "The patient tolerated this well.", + "output": "The patient responded poorly." + }, + { + "input": "Per records patient had persistent purulent drainage from his tunnel site unresponsive to antibiotic treatment, but without systemic signs of infection or bacteremia.", + "output": "Patient has sepsis." + }, + { + "input": "He tried advil and acetominophen which helped at first to relieve his pain.", + "output": "He tried pain medication with no relief." + }, + { + "input": "An mri done in [**3149-3-27**] showed l4-l5 moderate stenosis, spondylosis of l5, and severe bilateral stenosis of l5-s1.", + "output": "Patient has no need for intervention." + }, + { + "input": "He became more responsive during the ambulance ride, so that he could follow commands and answer questions upon arrival at [**hospital 1108**] hospital.", + "output": "The patient is comatose." + }, + { + "input": "History of present illness: baby girl [**known patient lastname **] number one was born at 11:12 a.m. on [**9-24**] to a 22-year-old, gravida 1, para 0.", + "output": "Mother of the baby had 2 previous pregnancies." + }, + { + "input": "Patient bolused total 2l ns.", + "output": "The patient was diuresed." + }, + { + "input": "Sats dropped to 80% on nrbm, abg 7.015/42/78/11, was emergently intubated ~1830, with post intubation abg 7/042/42/70 (on 80% fio2).", + "output": "The patient\u2019s blood gases were abnormal." + }, + { + "input": "Her temperature at that time was 101.8, heart rate 90, blood pressure 160/69 and respiratory rate of 20.", + "output": "The patient is afebrile." + }, + { + "input": "He recently went to his primary care physician for [**name initial (pre) **] routine physical and mentioned at the time that he had been having chest discomfort and dyspnea for the past few months after climbing two flights of stairs.", + "output": "The patient has normal exercise tolerance." + }, + { + "input": "[**3490-8-7**]: induction chemotherapy with cytarabine and idarubicin complicated by persistent fevers and extensive workup ultimately revealing disseminated tuberculosis infection.", + "output": "Patient is not infected." + }, + { + "input": "Overnight, he bolused himself 10 units of insulin at a time, with multiple boluses overnight and through the next morning.", + "output": "The patient has not received subcutaneous medication." + }, + { + "input": "58 y/o m with severe copd with h/o mulit[** location **]tubations, obesity, dm, h/o dvts s/p ivc filter, who had respiratory distress this morning.", + "output": "Normal respiratory function." + }, + { + "input": "The pt reports that he is unable to recall the exact details of how ems care was initiated.", + "output": "The pt recalls that he called ems via telephone." + }, + { + "input": "Seen by ep who felt it was sinus arrest. .", + "output": "The patient has a normal ekg." + }, + { + "input": "The patient is a 66 yo m with long-standing history of l knee pain, limited rom and difficulties with activities of daily living.", + "output": "Patient has rheumatoid arthritis." + }, + { + "input": "He was seen in the ed on [**1-15**] for hematuria, had a negative renal u/s and was seen by urology who recommended d/c home with f/u. .", + "output": "The patient has a renal mass." + }, + { + "input": "Gi bleeding with diverticulitis in [**2507**].", + "output": "The patient does not have diverticular disease." + }, + { + "input": "Mixed aortic valve disease dilated ascending aorta history of etoh abuse gerd anxiety prior foot surgery", + "output": "The patient has normal aortic valves." + }, + { + "input": "His baseline blood pressure has been 80-90 systolic. .", + "output": "The patient is hypertensive." + }, + { + "input": "The pregnancy was complicated by twin- to-twin transfusion syndrome.", + "output": "The patient had no pre natal screening." + }, + { + "input": "Postoperative day #9, overnight events include atrial fibrillation times one and an unchanged cough.", + "output": "Patient has normal ekg." + }, + { + "input": "Iddm pancreatitis t&a lle bypass", + "output": "No history or hyperglycemia." + }, + { + "input": "[**known patient lastname 5775**] is a 61 year old gentleman with a history of systolic congestive heart failure, moderate to severe mitral regurgitation, coronary artery disease s/p multiple angioplasties with recurrent in-stent restenoses, s/p coronary artery bypass grafting and patent foramen ovale closure in [**3003-1-24**], recurrent atrial fibrillation s/p atrioventricular nodal ablation and permanent pacemaker, hypertension, wegener's granulomatosis, chronic kidney disea s/p renal transplant and prior stroke, who presented with shortness of breath.", + "output": "The patient has no surgical history." + }, + { + "input": "Being admitted for pain control and possible rehab placement.", + "output": "The patient denies pain." + }, + { + "input": "58yo man w hc chronic progressive ms, quadri[** location **], hx aspiration pna, chronic foley who was transferred from osh ed with increasing fatigue and productive cough.", + "output": "The patient has a normal neurologic exam." + }, + { + "input": "This infant was born via cesarean section with apgars of 8 and 9.", + "output": "The patient was born via vaginal delivery." + }, + { + "input": "He was given 40mg iv protonix.", + "output": "Patient has no gi complaints." + }, + { + "input": "A paracentesis was done on [**1-23**], of two liters.", + "output": "Paracentesis was contraindicated." + }, + { + "input": "The patient's work up revealed severe three vessel disease, three vessel coronary artery disease with preserved ejection fraction.", + "output": "No history of cardiac disease." + }, + { + "input": "Sleep apnea 14.", + "output": "The patient has no respiratory problems." + }, + { + "input": "3rd episode: egd show gastritis.", + "output": "Patient has normal gastric lining." + }, + { + "input": "Dementia djd hypertension h/o cervical cancer s/p radiation therapy 30 years ago h/o dvt in left leg 30 years ago", + "output": "The patient has normal cognition." + }, + { + "input": "His visual field, vision and comprehension were all intact; however he felt that his l hand was slow and responsible for the newfound deficit.", + "output": "Patient has positive physical exam." + }, + { + "input": "History of present illness: the patient is an 18 year old male without any significant past medical history who was involved in a motor vehicle accident, who was rear-ended at high speed on the [**state **] turnpike approximately four foot intrusion into the rear end of the mini [**doctor last name **] and prolonged extrication.", + "output": "The patient is presenting for an outpatient visit." + }, + { + "input": "He awoke on friday (3d pta) \"achy and sick to his stomach\".", + "output": "Patient has no complaints." + }, + { + "input": "Per the ir fellow, the plan was to treat with unasyn for 24 hours because of the gallbladder perforation.", + "output": "The patient has an intact gallbladder." + }, + { + "input": "His catheterization at [**hospital6 2864**] showed 50% left main, left main 80% left anterior descending, 70% right coronary artery with an ejection fraction of 20%.", + "output": "The patient\u2019s cardiac function is normal." + }, + { + "input": "On [**3242-2-14**] he was re-cathed d/t progressive dyspnea and complaints of chest pain.", + "output": "The patient denies chest pain." + }, + { + "input": "An echo done at that time showed her ef to be 20 to 25 percent with an akinetic apex and global hypokinesis, mild to moderate mr and mild tr with mild pulmonary hypertension.", + "output": "The cardiac echo was normal." + }, + { + "input": "Patient was started on levophed and it was titrated to 0.05 mcg/kg/min for a bp of 90/42 with a map 59.", + "output": "Patient has normal vital signs." + }, + { + "input": "Pregnancy was complicated by the development of pih and pre- eclampsia prompting maternal admission on [**3231-4-28**].", + "output": "Patient has no symptoms." + }, + { + "input": "Knee extension was 3 on the right and 4 on the left.", + "output": "Patient has normal neurologic exam." + }, + { + "input": "In the ed, initial vitals were t 103.8 rectal, p 100 bp 128/49 r 40 o2 79% on nrb.", + "output": "The patient is afebrile." + }, + { + "input": "He was admitted to omed service, where ortho and rad onc were consulted.", + "output": "The patient does not have cancer." + }, + { + "input": "Mother's history is also notable for delivery of a 26 week infant 7 years ago whose neonatal intensive care unit included necrotizing enterocolitis.", + "output": "Mother\u2019s history is notable for delivery of full term infant 7 years ago." + }, + { + "input": "The patient sustained a laceration of her forehead, which was repaired.", + "output": "The patient has no trauma history." + }, + { + "input": "Bp remained normal.", + "output": "Blood pressure is high." + }, + { + "input": "Left femoral line was placed.", + "output": "The patient does not have intravascular access." + }, + { + "input": "All blood tests sent to the laboratory have not clotted.", + "output": "The blood clotted." + }, + { + "input": "Frequent upper resp track infections 5.", + "output": "Patient has no significant pmh." + }, + { + "input": "She also has a positive troponin, but had no cp or ecg changes and no asa was given due to the hemorrhage.", + "output": "The patient is having a stemi." + }, + { + "input": "Recent admissions as per hpi: the patient was recently admitted from [**2600-11-26**] to [**2600-12-24**] for resistant hsv c/b chf exacerbation and aspergillus/enterobacter on bal.", + "output": "The patient has no cardiac history." + }, + { + "input": "Concern raised about possible constrictive/restritive pericarditis causing sx's.", + "output": "Patient has no symptoms." + }, + { + "input": "Elevated transaminases, unknown etiology 5.", + "output": "The patient has normal lfts." + }, + { + "input": "This hospital course was complicated by a labile fluid status, labile potassium levels ranging between 3.0 to 7.9 with subsequent associated arrhythmias, constipation, and also during this hospitalization she had tracheostomy pain secondary to a posterior tracheal ulcer, which was felt to be an early tracheoesophageal fistula.", + "output": "The patient does not require any pulmonary support." + }, + { + "input": "Egd showed no evidence of bleeding.", + "output": "The patient has frank blood on endoscopic exam." + }, + { + "input": "History of present illness: the patient is a 60-year-old gentleman with a history of left hip replacement in [**2975**], bladder cancer, and degenerative joint disease who presented to [**hospital3 **] hospital on [**9-11**] with neck pain and back pain times one week that radiated to his legs and a pustular rash over his arms bilaterally and his left leg.", + "output": "The patient has no history of cancer." + }, + { + "input": "Wbc 29.5 with negative ua and no obvious pna on cxr.", + "output": "The patient has a normal cbc." + }, + { + "input": "Per emergency department report, she apparently had fallen 24 hours to 36 hours before being found and was unable to rise secondary to weakness.", + "output": "The patient has a normal neurological exam." + }, + { + "input": "Birth weight was 1135 grams, which is the 50th percentile at 28-2/7 weeks.", + "output": "Full-term birth." + }, + { + "input": "This mother is known to have significant developmental delay and is currently living in a [**doctor last name **] home.", + "output": "The patient has normal cognition." + }, + { + "input": "He denies frank abdominal pain or nausea on that day.", + "output": "The patient is actively vomiting." + }, + { + "input": "Patient's daughter is not aware of any h/o pud or cad in her mother.", + "output": "The patient has a strong family history of cad." + }, + { + "input": "On the floor, he reported feeling \"lousy\" but denied any other complaints as above.", + "output": "He reports feeling normal." + }, + { + "input": "Presented in spontaneous onset preterm labor.", + "output": "The patient is full term." + }, + { + "input": "However, despite aggressive tocolytic treatment, labor progressed.", + "output": "The tocolytic treatment arrested labor." + }, + { + "input": "The patient was emergently taken to the operating room for decompression, assuming that he had suffered a cervical cord contusion with subsequent swelling in the setting of spinal stenosis.", + "output": "Patient has a normal mri spine." + }, + { + "input": "Apgar nine at seven and one minute and eight at five minutes.", + "output": "The patient has low apgar scores." + }, + { + "input": "During that admission the patient had a clotted av graft that required thrombectomy.", + "output": "Patient has normal kidneys." + }, + { + "input": "He denies any signs or symptoms of ischemia or other illness in the days to weeks leading up to these events.", + "output": "The patient has had a recent pneumonia." + }, + { + "input": "This hematuria was felt to be secondary to foley catheter trauma or recurrent nephrolithiasis or tumor while in the setting of anticoagulation.", + "output": "The patient has normal urine." + }, + { + "input": "His chest radiograph revealed a right middle lobe infiltrate, which he had recently been treated for at [**hospital1 18**] (admission until [**3058-4-21**]).", + "output": "The patient has a clear chest x-ray." + }, + { + "input": "Coronary artery disease status post non-st-elevation myocardial infarction in [**3059-5-3**], status post cardiac catheterization with left anterior descending artery stent placement in 05/[**3059**].", + "output": "Patient has normal troponins." + }, + { + "input": "Started prednisone in [**month (only) 496**] and finished prednisone taper 2 weeks ago.", + "output": "The patient is currently taking prednisone." + }, + { + "input": "The patient was loaded with 1 g of dilantin and med-flighted to [**hospital1 58**] for further management.", + "output": "The patient was discharged home." + }, + { + "input": "Later in mid [**month (only) **] he began experiencing mid frontal headaches radiating to the back of his head.", + "output": "The patient has no head pain." + }, + { + "input": "He also has lightheadedness and lower extremity edema.", + "output": "The patient has normal extremities." + }, + { + "input": "Prior liver biopsy was consistent with gvhd, and his lfts continued to be elevated since discontinuation of his tb meds.", + "output": "Patient has normal liver function tests." + }, + { + "input": "She has discontinued her coumadin on [**3423-2-1**].", + "output": "The patient has a bleeding disorder." + }, + { + "input": "Cardiac and neurologic review of systems are negative, although the family noted a recent change in his personality and increased alcohol consumption.", + "output": "The patient denies alcohol." + }, + { + "input": "He began making purposeful movements at which time pulses were checked.", + "output": "The patient is healthy and in normal state of health." + }, + { + "input": "He came to the ed at [**hospital1 52**] [**2972-3-31**] where initial vs 98.1, 75, 157/88, 18 and 100/ra.", + "output": "Patient is hypoxic." + }, + { + "input": "On arrival to the floor, she was found to less responsive and difficult to arouse.", + "output": "The patient is alert, aware, and oriented." + }, + { + "input": "His face was symmetric.", + "output": "He has unilateral ptosis." + }, + { + "input": "Macrocytic anemia 13.", + "output": "The patient has a normal hematocrit." + }, + { + "input": "Intrapartum antimicrobial prophylaxis administered six hours prior to delivery.", + "output": "The patient is not pregnant." + }, + { + "input": "He was also c/o abdominal pain (of several weeks duration) and an a/p ct was obtained that showed a large, complex ventral hernia w/o evidence of incarceration, but no other acute pathology. .", + "output": "The patient has a strangulated hernia." + }, + { + "input": "Ekg did not show ischemic changes and patient left ama.", + "output": "The patient had a stemi." + }, + { + "input": "She went to the ed and was admitted for r/o mi, which she did, after nchct and lp were negative.", + "output": "Her cardiac function was normal." + }, + { + "input": "Status post appendectomy.", + "output": "No surgical history." + }, + { + "input": "Patient reported passing two bowel movements with blood on [**11-20**] and an additional two bowel movements with blood on [**11-21**] and one bowel movement of blood on [**11-22**].", + "output": "Patient has no symptoms." + }, + { + "input": "Sbp 150s by arterial line s/p 2l of fluid s/p 3 urbc .", + "output": "The patient has no invasive monitoring." + }, + { + "input": "Patient is a 64 year old male with extensive past medical history tranferred from [**location 34469**]hospital with pancreatitis.", + "output": "The patient has no medical history." + }, + { + "input": "Chronic anemia 8.", + "output": "Renal disease." + }, + { + "input": "On review of systems, the pt reported 15 lb wt loss.", + "output": "Patient has no change in weight." + }, + { + "input": "Given shallow breathing and diminished gag, she was intubated for airway protection. .", + "output": "The patient has a normal respiratory drive." + }, + { + "input": "Multiple sclerosis, primary progressive, diagnosed in [**3439**].", + "output": "Patient has no pmh." + }, + { + "input": "Chest tube removed.", + "output": "The patient had an expanding pneumothorax." + }, + { + "input": "Two days prior, she had a fall.", + "output": "No history of falls." + }, + { + "input": "History: the patient is a 45-year-old gentleman with severe headache, nausea, and vomiting, while at work on [**3100-10-24**].", + "output": "The patient has no pain." + }, + { + "input": "After the 3rd l ns, she improvement to sbp 110s but still intermittently dropped to sbp 80's.", + "output": "The patient is hypertensive." + }, + { + "input": "Copd ckd with baseline creatinine around 2.0 as valve area 0.6 cm dm2 - but denies formal diagnosis of this hypothyroidism [**3293**] - primary lung carcinoma t2m0n0.", + "output": "Patient has normal aortic valve." + }, + { + "input": "She additionally received 1 unit of packed rbc and was started on levophed.", + "output": "The patient was started on an antihypertensive medication." + }, + { + "input": "They believe his thinking and talking are normal in between and they brought him to the ed with vomiting and a headache earlier this evening.", + "output": "He has no pain." + }, + { + "input": "The infant was transferred to the regular newborn nursery after delivery and was discovered to be in mild respiratory distress with intermittent grunting and was referred to the nicu for evaluation.", + "output": "The infant was breathing normally." + }, + { + "input": "73 year old surgeon with increased chest tightness with exertion, over the last 3 years.", + "output": "Patient has no chest pain." + }, + { + "input": "She has had a peritoneal dialysis catheter placed in preparations to begin peritoneal dialysis.", + "output": "The patient has normal kidneys." + }, + { + "input": "Heparin was stopped, and no additional iib/iiia inhibitor given due to history of brbpr x few days and decreased hematocrit.", + "output": "Patient has normal lab values." + }, + { + "input": "History of present illness: the patient is a 48-year-old right-handed gentleman with a sudden onset of headache on [**2665-2-16**] in the morning while taking a shower.", + "output": "The patient does not complain of neurological symptoms." + }, + { + "input": "Htn, dm, osteoarthritis, dyslipidemia", + "output": "No history of high cholesterol or blood pressure." + }, + { + "input": "Apgar 7 at 1 minute and 8 at 5 minutes.", + "output": "Patient has abnormal apgar\u2019s." + }, + { + "input": "On [**10/3292**] he had another catheterization showing occluded grafts with 80% stenosis of his left internal mammary coronary artery.", + "output": "The patient has no cardiac history." + }, + { + "input": "Transferred to [**hospital1 22**] for possible urgent hd.", + "output": "The patient has normal renal function." + }, + { + "input": "Cxr negative for acute infiltrates.", + "output": "The patient has lobar pneumonia." + }, + { + "input": "The patient was intubated within 2 to 3 minutes of life with excellent response and normal heart rate, good respiratory effort, pink and good activity.", + "output": "The patient was unstable after intubation." + }, + { + "input": "Intra-procedure, received haldol 5 mg iv, fentanyl 200 mg iv, and versed 1.5 mg iv and noted to be poorly responsive to commands and low rr in recovery area; [**hospital unit name 519**] called to evaluate.", + "output": "The patient has not had a recent surgery." + }, + { + "input": "History of present illness: this is a 19-year-old male, status post motor vehicle collision.", + "output": "The patient has no history of trauma." + }, + { + "input": "Patient was then transferred to [**hospital1 22**] for cardiac cath.", + "output": "Patient has negative ros." + }, + { + "input": "This had prevented him from receiving a liver transplant earlier.", + "output": "The patient has a normal liver." + }, + { + "input": "History of present illness: the patient is a 59-year-old woman with a past medical history of hypertension and avnrd who was found in the parking garage on [**3208-9-25**], unresponsive and not moving her right side.", + "output": "The patient is alert, aware, and oriented." + }, + { + "input": "She was found to be in a-fib, which she has never been in before.", + "output": "The patient has a regular heart rate." + }, + { + "input": "He was later admitted [**date range (3) 20892**] for osteo/sepsis.", + "output": "There are no signs of infection." + }, + { + "input": "She was treated with bedrest, magnesium sulfate, and betamethasone.", + "output": "She is at 40 weeks gestation." + }, + { + "input": "State newborn screen: sent, results all within normal limits.", + "output": "Newborn screen was abnormal." + }, + { + "input": "The child is well at this time.", + "output": "Patient has pain." + }, + { + "input": "Given the new q waves on ecg and negative cardiac enzymes, pt likely had an mi sometime in the weeks preceding admission.", + "output": "The patient has a normal ekg." + }, + { + "input": "He was transferred to [**hospital1 52**] via ambulance on an amiodarone drip. .", + "output": "Patient has normal heart rhythm." + }, + { + "input": "This is a ultrasound at 23 weeks showed size discordance, attributed to twin-twin transfusion syndrome.", + "output": "This is a a dichorionic diamniotic pregnancy." + }, + { + "input": "She had diagnosed t4n0 stage 3b lung cancer in the right upper lobe involving the main stem bronchus.", + "output": "The patient has a negative chest ct." + }, + { + "input": "His lfts were wnl (alt 20, ast 29, alk phos 130) as they have been in past.", + "output": "The patient has abnormal liver function tests." + }, + { + "input": "- anticardiolipin antibody- dxed 15y ago when episode of transient visual loss, on coumadin since - rheumatoid arthritis - spontaneous abortions >1 - synovectomy surgery bilateral wrists- [**3022**] by dr. [**last name (stitle) 13736**] at nebh - tonsillectomy - hypothyroidism - mitral valve prolapse", + "output": "No surgical history." + }, + { + "input": "Patient described this dizziness as feeling unsteady when trying to ambulate.", + "output": "The patient is able to ambulate normally." + }, + { + "input": "The emts noted diffuse wheezing, accessory muscle use, and oxygen saturation in the 50s.", + "output": "The patient is not having difficulty breathing." + }, + { + "input": "He was treated for a copd flare with po prednisone and levofloxacin.", + "output": "Patient has not been on medications." + }, + { + "input": "She continued to do quite well and ended up undergoing a thymectomy which she tolerated fairly well, however, postoperatively she had bilateral chest tubes with some mild pleural effusions and continued to complain of some shortness of breath.", + "output": "Patient has normal thyroid gland." + }, + { + "input": "This is a 76 year old woman with a past medical history significant for coronary artery disease status post myocardial infarction and stent placement, hypertension, paroxysmal supraventricular tachycardia, gastrointestinal bleeding and hypercholesterolemia who presents after being found down at home.", + "output": "The patient has has normal heart function and structure." + }, + { + "input": "He has dialysis tuesday, thursday, and saturday.", + "output": "The patient has normal kidneys." + }, + { + "input": "The infant was discharged home on day of life two per parents request.", + "output": "Infant sent to nicu after." + }, + { + "input": "Pt was found to be in dka with bs 384 and anion gap 17, given 5 u insulin and placed on insulin gtt.", + "output": "Patient has normal anion gap." + }, + { + "input": "History of methicillin resistant staphylococcus aureus in sputum.", + "output": "The patient is mrsa negative." + }, + { + "input": "Reactive airway disease; 8.", + "output": "Patient has normal pfts." + }, + { + "input": "Maternal history notable for hypothyroidism on levoxyl.", + "output": "The mother is hyperthyroid." + }, + { + "input": "In total, the patient received 9units of prbcs.", + "output": "Patient has normal hct." + }, + { + "input": "An arterial line was placed.", + "output": "The patient does not have intravascular access." + }, + { + "input": "Multiple rib fractures.", + "output": "Patient has normal chest ct." + }, + { + "input": "History of present illness: the patient's chief complaint was dyspnea on exertion and syncopal episode.", + "output": "Patient denies syncope." + }, + { + "input": "Of note, patient does admit to an admission at [**hospital1 251**] where he experienced seizures and self reports a diagnosis of delirium tremens.", + "output": "The patient has normal brain chemistry." + }, + { + "input": "She appeared comfortable but unable to wean the oxygen to nasal cannula at this time.", + "output": "The patient has normal lungs." + }, + { + "input": "She was initially treated for an exacerbation of her chronic obstructive pulmonary disease.", + "output": "The patient has normal lungs." + }, + { + "input": "Started on insulin ggt at 6 u/hr.", + "output": "The patient received no insulin." + }, + { + "input": "History of spinal tuberculosis.", + "output": "No history of tuberculosis." + }, + { + "input": "She was tranported via ambulance to [**hospital1 22**] for continued trauma care.", + "output": "The patient denies trauma." + }, + { + "input": "\ufeff# gerd # stab wounds to back ([**3142**]): r lung, kidney, liver punctured.", + "output": "No history of trauma." + }, + { + "input": "Her outpatient medications include aspirin 325 mg po q d, glucophage 100 mg po bid, glyburide 10 mg po bid, lasix 40 mg po q d, iron 325 mg po q d, lescol 40 mg po q d, zestril 40 mg po q d, kcl 10 meq po q d.", + "output": "The patient does not take medications." + }, + { + "input": "She was given zosyn 4.5 mg iv.", + "output": "There is no concern for infection." + }, + { + "input": "Though he was clinically improving, patient did not complete his medical treatment.", + "output": "The patient completed treatment." + }, + { + "input": "A left chest tube was placed, and the patient was resuscitated and medflight'd over to [**hospital6 2138**].", + "output": "The patient has no acute intrathoracic pathology." + }, + { + "input": "History of present illness: this is a 60 year old male transferred from [**hospital3 22437**] in [**doctor last name 2142**]on [**3262-1-31**] for evaluation for coronary artery bypass grafting.", + "output": "Patient has normal coronary angiogram." + }, + { + "input": "His wife says that he looked pale and sweaty and was complaining that \"something didn't feel right.\" he denies experiencing any shortness of breath, nausea/vomiting, or palpitations. .", + "output": "He has no cardiac symptoms." + }, + { + "input": "She was seen by gastroenterology in the emergency room.", + "output": "She denies pain, nausea, vomiting, constipation or diarrhea." + }, + { + "input": "New st depressions and t wave inversions noted.", + "output": "Patient has normal ekg." + }, + { + "input": "His recent abdominal pain and nausea had improved over the [** location **]us days since he had been switched from tacrolimus to cyclosporine.", + "output": "Patient is asymptomatic." + }, + { + "input": "She had no prior coronary artery disease history.", + "output": "The patient has a history of cabg." + }, + { + "input": "Initial ag 35, down to 17 at transfer to micu.", + "output": "Patient has be discharged." + }, + { + "input": "Patient had an admission for dchf exacerbation in [**10-31**].", + "output": "Patient has normal echo." + }, + { + "input": "His last a1c was 5.7 in [**3032**] at which time his ldl was 96, the tg were 159 and his hdl was 60.", + "output": "The patient has chronically eleveated blood glucose." + }, + { + "input": "She was started on ancef.", + "output": "The patient is got being treated with medication." + }, + { + "input": "Mitral stenosis and mitral regurgitation.", + "output": "The patient has no cardiac history." + }, + { + "input": "She was given 20mg iv lasix immediately and a foley was placed for uop monitoring.", + "output": "Patient has no iv access site in place." + }, + { + "input": "Cxr in ed notable for pulmonary vascular congestion, but no overt failure or infiltrate. .", + "output": "Patient has normal chest x-ray." + }, + { + "input": "Urine and serum tox screens negative, u/a negative.", + "output": "Drug testing was positive for benzodiazepines." + }, + { + "input": "[**doctor first name 2642**] required some facial cpap in the delivery room.", + "output": "The patient required no ventilation support." + }, + { + "input": "He has had increased insomnia with halucinations due to increased pain and potential side effects of requip and pregabalin.", + "output": "The patient has normal mental status." + }, + { + "input": "She was found to be tachypneic this morning with rr~40's.", + "output": "Her breathing was normal." + }, + { + "input": "Total cross-clamp time was 39 minutes.", + "output": "No history of surgery involving the heart." + }, + { + "input": "74 year old female presented to osh with chest pressure and heaviness.", + "output": "Patient has no new symptoms." + }, + { + "input": "Cad s/p mi in the 80s 9.", + "output": "The patient has no coronary artery calcifications." + }, + { + "input": "In the ed: t 97.0 hr 58 bp 106/69 rr 25 szo2 95%2l.", + "output": "The patient was breathing on room air." + }, + { + "input": "History of present illness: a 3435-gram male infant born by stat cesarean section for fetal bradycardia at 41 weeks.", + "output": "The patient is premature." + }, + { + "input": "She awoke up more and she tore off her bipap.", + "output": "Patient has normal respiratory function." + }, + { + "input": "He was found with 3vd, now s/p cabg x 3 on [**5-29**].", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Review of systems on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, hemoptysis, black stools or red stools.", + "output": "Patient has hypercoagulopathy." + }, + { + "input": "Today increasing lethargy and no p.o. intake.", + "output": "Patient was able to eat today." + }, + { + "input": "Pt had a stress mibi test done today.", + "output": "The patient has not had coronary artery disease assessed." + }, + { + "input": "Patient is hypotensive on admission.", + "output": "The patient has high blood pressure." + }, + { + "input": "He was restless, complained of abdominal pain (but had a benign examination), and had a desaturation of a pulse oxygen to 88% on 100% nonrebreather face mask, and he was reintubated.", + "output": "The patient does not require supplemental oxygen." + }, + { + "input": "Vancomycin was added on [**3387-2-9**].", + "output": "The patient required no antibiotics." + }, + { + "input": "[**known patient lastname 7540**] is a 49 year old man with h/o hiv/aids (last cd4 387 in [**3-26**]), severe copd (home o2 4-5lnc), who was admitted with shortness of breath and confusion. .", + "output": "He has normal pulmonary function." + }, + { + "input": "Then, on [**2598-12-1**], head ct showed a stroke on the right, less than one-half of the hemisphere, thus it was decided to start him on low dose heparin gtt and coumadin with a goal ptt 40-50.", + "output": "Head ct was unremarkable." + }, + { + "input": "He was transferred to the nicu for further evaluation.", + "output": "Patient is stable." + }, + { + "input": "There are no other neurological symptoms.", + "output": "The patient is fully neurologically intact." + }, + { + "input": "While intubated it was found that there was no air leak even w/ the cuff down, of note, however, a larger ett was placed (8.0) for second intubation and it was thought that perhaps the large tube size was preventing air leak rather than true airway edema.", + "output": "The patient is on room air." + }, + { + "input": "Hepatitis complicated by hypothyroidism, treated with levoxyl and insulin dependent diabetes mellitus.", + "output": "The patient has no liver disease." + }, + { + "input": "History: baby girl [**known patient lastname 279**] was born at 32 5/7 weeks gestation, weighing 2175 grams, by spontaneous vaginal delivery, to a 40-year-old gravida ii, para 0 now i woman.", + "output": "Patient is in utero." + }, + { + "input": "Hypothyroid hypercholestemia gerd s/p bilateral knee replacement", + "output": "The patient has no surgical history." + }, + { + "input": "History of present illness: the patient is a 73[**hospital 9678**] nursing home resident with a history of hypertension and alzheimer's dementia who presented with an episode of loss of consciousness after defecating.", + "output": "The patient has no history of neurodegenerative disease." + }, + { + "input": "Followed by cardiologist for elevated blood pressures (toprol was recently increased to [**hospital1 **] and hctz was added), herniated disks at c4 anc c5 with increased neck pain in the past few months, s/p hysterectomy, appendectomy, lumbar disk surgery in [**3118**].", + "output": "Patient has negative ros." + }, + { + "input": "History of present illness: the patient is a 52 year old gentleman with a past medical history significant only for heavy smoking, who was transferred from outside hospital for management of an acute myocardial infarction and nonsustained ventricular tachycardia.", + "output": "The patient has normal troponins." + }, + { + "input": "Nasogastric lavage was performed, positive for blood.", + "output": "Patient has no had an intervention." + }, + { + "input": "No maternal fever was reported.", + "output": "Mother had elevated temperature." + }, + { + "input": "History of deep venous thrombosis with left popliteal to common femoral deep venous thrombosis diagnosed in [**2733-8-5**].", + "output": "The patient has no history of a clotting disorder." + }, + { + "input": "On the day of delivery, the decision was made to deliver by repeat c- section, also this twin was known breech presentation.", + "output": "Patient was delivered vaginally." + }, + { + "input": "Back pain was considered musculoskeletal in nature.", + "output": "Back pain due to malignancy." + }, + { + "input": "His normal bm pattern is [**2-11**] loose bm daily and his last bloodly bm was ~3wks ago.", + "output": "The patient has no history of gi bleed." + }, + { + "input": "He became progressively hypoxic to 88 on room air (up to 95% on 4 liters).", + "output": "The patient has normal oxygen." + }, + { + "input": "A chest x-ray was unremarkable, and an abdominal ultrasound did not demonstrate any ascites.", + "output": "Chest x-ray revealed pneumonia." + }, + { + "input": "Upon arival to the [**name (ni) **], pt was stable but found to have dynamic evolving ecg changes including anterior stes and twi through out.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "She presents with a two day course of progressive slurred speech and difficulty speaking.", + "output": "The patient has a normal neuro exam." + }, + { + "input": "In ed, attempts at subclavian and ij's failed and a femoral line was placed.", + "output": "The patient does not have central intravenous access." + }, + { + "input": "No fevers, chills, recent illenss,chest pain, does have occ palpitations but none with these episodes.", + "output": "Patient has negative exam." + }, + { + "input": "Status post tonsillectomy and adenoidectomy in [**2527**].", + "output": "No surgical history." + }, + { + "input": "7) s/p lap chole 8) lbp 9) chronic renal insufficiency: [**12-26**] diabetic nephropathy.", + "output": "Normal renal function." + }, + { + "input": "[**known patient lastname **] is a 19 year-old woman with type i diabetes, who presents female with headache and vomiting.", + "output": "Patient has no medical history." + }, + { + "input": "He was given 100 grams of activated charcoal and admitted to the sicu.", + "output": "The patient was not given medication." + }, + { + "input": "Atrial fibrillation status post coumadin, which was discontinued two weeks prior to this admission due to falls.", + "output": "Patient has normal ekg." + }, + { + "input": "At [**hospital1 294**], initial hct there was 41 --> dropped to 26.", + "output": "The patient has not had any blood loss." + }, + { + "input": "She stated that she has had increasing doe for the past 3 weeks (since last hospitalization).", + "output": "The patient has normal exercise tolerance." + }, + { + "input": "Had head ct at on arrival to floor, patient confused, oriented to person not place time or reason for admission.", + "output": "The patient is orientied x 3." + }, + { + "input": "Of note, he had his j-tube changed in dr.[**name (ni) 2913**] office 2 weeks prior due to obstruction. .", + "output": "He has no tubes or lines." + }, + { + "input": "In addition, the patient demonstrated 3-vessel disease of the right coronary artery, left anterior descending artery, and circumflex with diffuse 68% stenosis of each.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "The patient was noted to have a laceration at the back of his head, on the left, with a fair amount of bleeding.", + "output": "The patients skin is intact." + }, + { + "input": "Depression anxiety hernia repair vasectomy", + "output": "Patient has no psychologic history." + }, + { + "input": "Head ct scan on admission shows decrease in the subdural hematoma.", + "output": "Head ct on admission shows increase in the subdural hematoma." + }, + { + "input": "The patient was in the newborn nursery until day of life two.", + "output": "The patient was in the neonatal icu." + }, + { + "input": "In the ed, initial vitals t was 100.8, hr 95 bp79/46 rr14 100% 2l nc.", + "output": "The patient is hypertensive." + }, + { + "input": "The patient is asymptomatic without any lightheadedness or dizziness.", + "output": "Patient has abnormal vital signs." + }, + { + "input": "History of tuberculosis.", + "output": "The patient has not had an infection." + }, + { + "input": "Patient was unable to recall the fall and denied loc.", + "output": "The patient has clear memory." + }, + { + "input": "He had an abnormal ett and then underwent cardiac cath.", + "output": "Patient has normal ultrasound imaging of the heart." + }, + { + "input": "He underwent workup in the emergency room to include a ct scan, which demonstrated what appeared to be portal and smv thrombus.", + "output": "Patient has normal and patent portal vasculature." + }, + { + "input": "He is status post prostatectomy, status post appendectomy, and status post hernia repair.", + "output": "He has no surgical history." + }, + { + "input": "The mother's prenatal screens were blood type b+, antibody negative, rpr nonreactive, hepatitis surface antigen negative, group b strep negative.", + "output": "The mother tested positive for group b strep." + }, + { + "input": "He was intubated by paramedics who found pill fragements in his mouth.", + "output": "The patient is able to breath on his own." + }, + { + "input": "Status post open reduction and internal fixation of left tibia in [**2845-4-10**].", + "output": "Patient has normal gait." + }, + { + "input": "He has had no coffee ground emesis.", + "output": "The patient is vomiting blood." + }, + { + "input": "According to her, his eyes looked funny.", + "output": "The patient has normal eyes." + }, + { + "input": "10 hours into ed course patient's bp was still 200 systolic.", + "output": "Patient has not received antihypertensive medications." + }, + { + "input": "History: the patient is the 1510-gram product of an ivf triplet gestation born by cesarean section from maternal pih at 30-5/7 weeks gestation to a 31-year-old g1 mother.", + "output": "The patient was born at herm." + }, + { + "input": "Emergency department temperature was 102, heart rate 148, blood pressure 128/78, respiration rate 20, o2 sat 92 percent on room air.", + "output": "The patient has normal vitals." + }, + { + "input": "Currently the patient's daughter would like her to go back to [**hospital3 937**] as soon as possible.", + "output": "The patient does not have any children." + }, + { + "input": "She was then dc cardioverted with 100 joules which converted her to normal sinus rhythm.", + "output": "Cardioversion was not succesful." + }, + { + "input": "She was on coumadin for mitral valve replacement and had had nosebleeds in the past but never hematemesis.", + "output": "Patient has normal coagulation profile." + }, + { + "input": "Head ct showed multiple high density nodules concerning for metastatic disease.", + "output": "Head ct was normal." + }, + { + "input": "Prenatal screens are o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, gbs unknown, cf negative.", + "output": "The patient has syphilis." + }, + { + "input": "The patient had no complaints of angina or no st segment changes were noted.", + "output": "Patient has three vessel disease." + }, + { + "input": "History of present illness: patient is an 88-year-old who is a retired former gm worker who has cardiac history that dates back to [**2728**] when he was admitted to an outside hospital with chest pain, shortness of breath and diaphoresis after shoveling snow at which time ecg was consistent with an acute inferior mi with a ck peaking at 1273 with 20% mb.", + "output": "The patient has no history of cardiac signs or symptoms." + }, + { + "input": "At the ed, he had a ct, which showed large lymph nodes in the abdomen.", + "output": "Abdominal ct was unremarkable." + }, + { + "input": "Group beta strep status unknown.", + "output": "The group b strep status is known." + }, + { + "input": "Limb ataxia: 2 8.", + "output": "The patient has a normal neurologic exam." + }, + { + "input": "He took tylenol for severe ha in the setting of family problems.", + "output": "The patient does not get headaches." + }, + { + "input": "The patient was admitted to the micu where he received 3% hypertonic saline.", + "output": "The patient has a normal serum sodium." + }, + { + "input": "History: baby [**name (ni) **] [**known patient lastname **] is a 41 and [**12-30**] week gestation infant admitted to the nicu with respiratory distress.", + "output": "Patient has normal vital signs." + }, + { + "input": "The patient had complained of polyuria and polydipsia for weeks.", + "output": "The patient has a normal metabolic profile." + }, + { + "input": "Pt has no other known medical problems and states that he hadn't been to see a doctor [**first name (titles) **] [**last name (titles) 6361**].", + "output": "Past medical history of copd and lung cancer." + }, + { + "input": "She denies exertional buttock or calf pain.", + "output": "Patient has pain with exertion in the calf." + }, + { + "input": "She denies exertional buttock or calf pain.", + "output": "The patient has buttock pain with exertion." + }, + { + "input": "On [**3300-1-28**] the patient had another catheterization that showed again three vessel disease with the left main severely and diffusely diseased with proximal left anterior descending coronary artery 90% and proximal left circumflex subtotally occluded, diffusely diseased left internal mammary coronary artery to left anterior descending coronary artery with 90% stenosis at touch down site of the left anterior descending coronary artery.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Supine ap view of the chest: an endotracheal tube is noted with tip at the carina.", + "output": "Chest x-ray is unremarkable." + }, + { + "input": "Back pain was described as sharp x 30 min, improved with nitroglycerin.", + "output": "Back pain is unremitting with medication." + }, + { + "input": "In the ed, vs: 100.5 90 90/49 16 100%ra.", + "output": "Patient has abnormal o2 sats." + }, + { + "input": "History of present illness: this is a 58 year-old gentleman who is presenting for operative management of his familial carcinoma of the stomach.", + "output": "The patient has a normal stomach." + }, + { + "input": "She was ordered 2 units to be given in ed.", + "output": "The patient was not in the emergency department." + }, + { + "input": "Current vs: 98.2 97 100/70 100ra.", + "output": "The patient is febrile." + }, + { + "input": "Travel history: travel history is quite extensive.", + "output": "The patient patient has not traveled anywhere." + }, + { + "input": "Left lower extremity deep venous thrombosis in [**2824-8-18**].", + "output": "The patient has no history of a blood clot." + }, + { + "input": "Total knee replacement in [**2664**].", + "output": "The patient has a native hip." + }, + { + "input": "He was given vancomycin and 2 gm ctx in the ed for meningitis coverage.", + "output": "Patient has abnormal mri spine." + }, + { + "input": "History of insulin dependent type 2 diabetes mellitus with neuropathy and nephropathy.", + "output": "Normal renal function." + }, + { + "input": "The patient was diagnosed with an acute myocardial infarction.", + "output": "The patient has a normal ekg." + }, + { + "input": "Wispy calcifications bilaterally in the region of the hamstring tendons suggest chondrocalcinosis.", + "output": "The patient has normal knee radiographs." + }, + { + "input": "Cath on [**3449-1-19**] revealed [**first name8 (namepattern2) **] [**location (un) 108**] of 0.6, mean grad 40 and peak of 60.", + "output": "No surgical history or cardiac symptoms." + }, + { + "input": "During her hospital admission, all of her medical problems improved.", + "output": "Her condition deteriorated during her hospital stay." + }, + { + "input": "Because he is on home o2 and has a poor pulmonary baseline, he does not walk far, but this had not been getting worse recently.", + "output": "The patient has normal lungs." + }, + { + "input": "The pt. reported that the same sequence of events occurred again beginning 4-5 days prior to admission.", + "output": "The patient has a first time problem." + }, + { + "input": "She developed recurrent infection 6 weeks after stopping therapy with coag-neg staph.", + "output": "She has no history of infection." + }, + { + "input": "His wife took his pulse and noticed it was \"slow.\" the patient reportedly had some relief from his symptoms after his wife gave him a sublingual nitroglycerin.", + "output": "The patient has not had relief of symptoms of with nitroglycerine." + }, + { + "input": "Arctic sun cooling protocol was initiated.", + "output": "The patient was not cooled." + }, + { + "input": "The wheezing was not relieved with her albuterol inhaler.", + "output": "The patient has no shortness of breath." + }, + { + "input": "History of present illness: the patient is a 41 year old female with multiple sclerosis and a diagnosis of ulcerative colitis from [**3188-1-26**].", + "output": "The patient has no history of gastrointestinal disease." + }, + { + "input": "A peripheral iv was placed and 10 mls per kilo of normal saline was given with good results.", + "output": "The patient did not require fluids." + }, + { + "input": "A biophysical profile [**9-8**] with fetal heart rate in the 130's.", + "output": "Patient has a low heart rate." + }, + { + "input": "She did not notice any abnormal limb movements or incontinence of stool or urine.", + "output": "The patient has urinary incontinence." + }, + { + "input": "In the micu, the patient was aggressively hydrated for treatment of dka and rhabdomyolysis.", + "output": "The patient has a normal blood glucose." + }, + { + "input": "Repeat echo 7 days later was done with stability in the patient's symptoms.", + "output": "Patient has worsening chest pain." + }, + { + "input": "A pharmacologic mibi was done as well and showed a possible mild reversible inferior wall defect.", + "output": "Stress test was normal." + }, + { + "input": "Bronch at [**hospital 1392**] hospital showed blood in trachea and tumor on right lateral tracheal wall, compromising the terminal trachea and proximal main stem bronchi.", + "output": "Patient has no evidence of cancer." + }, + { + "input": "7) status post transurethral resection of prostate.", + "output": "The patient has no surgical history." + }, + { + "input": "She has had no diarrhea.", + "output": "Patient has colitis." + }, + { + "input": "Uti was suspected and pt was started on iv ceftriaxone and iv tobramycin.", + "output": "The patient was given no medication." + }, + { + "input": "On the floor, patient 103/52 89 14 100 ra.", + "output": "The patient is hypertensive." + }, + { + "input": "66yom with diabetes, esrd on hd, and pvd s/p r sfa to dp bypass graft ([**9-/3223**]) followed by rle angiogram with angioplasty and sfa/at stents ([**3231-2-14**]), with known chronic right heel ulcer, now presents with worsening right heel gangrene.", + "output": "Patient has normal renal function." + }, + { + "input": "Now patient is normotensive, unremarkable exam, neg head ct, lactate trending down, cxr w/stable pleural effusions .", + "output": "Patient has hypertension." + }, + { + "input": "He has not had any large bloody bms for >1 day now.", + "output": "Patient has normal bowel history." + }, + { + "input": "Exercise treadmill thallium test showing an ejection fraction of 34%.", + "output": "Patient has normal stress test." + }, + { + "input": "He reports baseline diarrhea which is not changed.", + "output": "His diarrhea has resolved." + }, + { + "input": "She was also diuresed with iv lasix.", + "output": "She received no iv medications." + }, + { + "input": "She was transferred here for cardiac catheterization.", + "output": "Patient had no intervention." + }, + { + "input": "History: 59-year-old female with esophageal cancer, also with gi bleeding and initially hypotensive with concern for erosion into the great vessels of the mediastinum.", + "output": "The patient has no history of cancer." + }, + { + "input": "He arrived awake, alert, did not complain of headache but had slurred speech, bilateral end point lateral gaze nystagmus, truncal ataxia, both finger to nose and heel to shin.", + "output": "He arrived unconscious." + }, + { + "input": "On day of delivery, she proceeded to an elective c section for worsening of preeclampsia.", + "output": "The patient delivered vaginally." + }, + { + "input": "Patient denies chills.", + "output": "Patient has a high fever." + }, + { + "input": "U/a negative, and no changes were noted on ekg. .", + "output": "Patient has a stemi." + }, + { + "input": "Timeout was checked x2. [** location **]inary son[**name (ni) 236**] interrogation demonstrates visualization of a somewhat subtle, heterogeneous lesion at the inferior right hepatic lobe which corresponds to the mri findings.", + "output": "The patient has a normal liver." + }, + { + "input": "He states that he has gained 19 pounds in the past 3 days.", + "output": "His weight has been stable." + }, + { + "input": "She is not treated with rhogam during this pregnancy.", + "output": "She received rho(d) immune globulin this pregnancy." + }, + { + "input": "She was treated with an ercp and biliary stenting.", + "output": "She has normal gastrointestinal function." + }, + { + "input": "Vascular surgery evaluated the patient and recommended a venogram and a possible svc stent at that time.", + "output": "There is a normal svc." + }, + { + "input": "She has noticed dark stools over the past 24 hours. .", + "output": "Patient has negative hemacult test." + }, + { + "input": "Pt noted worsening of these symptoms throughout the week until presentation.", + "output": "The patient\u2019s symptoms resolved." + }, + { + "input": "He started radiation therapy in [**10-29**] and started cycle 1 of cisplatin/etoposide in [**11-28**] and cycle 2 in [**12-30**].", + "output": "Patient has no oncologic history." + }, + { + "input": "Urinary tract infection was active and treated during hospitalization 2.", + "output": "The patient has no history of infection." + }, + { + "input": "She noted sudden onset sob [**3350-7-9**], took an extra dose of furosemide 40 mg with little relief.", + "output": "Patient denies shortness of breath." + }, + { + "input": "He had a egd with push enteroscopy, and a colonoscoy which did not reveal the source of his bleeding.", + "output": "Colonoscopy revealed colon cancer." + }, + { + "input": "Currently she denies abdominal pain, nausea/vomiting, or increasing in abdominal girth.", + "output": "The patient has large volume ascities." + }, + { + "input": "He had undergone mvac chemotherapy with dr. [**last name (stitle) 5666**].", + "output": "He has no history of cancer." + }, + { + "input": "He also developed a shuffling gait and some unsteadiness on his feet and urinary incontinence.", + "output": "Patient has abnormal movement." + }, + { + "input": "He has been followed for a cystic lesion in his pancreas and recently this showed growth up to a size of 1.5 cm now.", + "output": "The patient has a normal pancreas." + }, + { + "input": "The daughter had noticed that the patient had not been taking her antihypertensive [**doctor last name 611**] for the past three weeks (she would find the tablets under her chair).", + "output": "The patient has normal blood pressure." + }, + { + "input": "Repeat colonoscopy on [**2573-9-21**] whoed high grade dysplasia and cis.", + "output": "The patient has colon cancer." + }, + { + "input": "The mother was induced for concerns of pregnancy induced hypertension.", + "output": "The mother was hypotensive." + }, + { + "input": "Past medical history: significant for alzheimer's with vascular dementia, right av fistula, post angioplasty, recent admission in [**2503-12-27**] for mental status changes and question encephalopathy and hypercalcemia.", + "output": "The patient has normal kidney function." + }, + { + "input": "A ct of the liver as part of a liver transplant work-up showed a shrunken cirrhotic liver with regenerating nodules with hyperintense lesions susicious for hepatomas.", + "output": "Patient has normal liver." + }, + { + "input": "On arrival to the micu, the patient is sleeping and does not want to answer questions.", + "output": "The patient is a good historian." + }, + { + "input": "Was given propofol for sedation.", + "output": "No medications were given." + }, + { + "input": "Past medical history: the patient's past medical history is significant for ulcerative colitis and bleeding and diarrhea.", + "output": "Patient has normal colonic mucosa." + }, + { + "input": "Nasal fracture secondary to trauma.", + "output": "The patient has no facial fractures." + }, + { + "input": "He was taken off the vent and bagged with sats 78-82% only.", + "output": "The patient has normal oxygen sats." + }, + { + "input": "The patient denies chest pain or recent med changes. .", + "output": "Patient has stated hctz." + }, + { + "input": "Morphine sulfate for pain control with episode of hypertension.", + "output": "Patient has hypotension." + }, + { + "input": "Pcp was called and offered the additional history: patient was feeling weak, wasn't herself over weekend, family didn't want to bring her in (daughter).", + "output": "The patient is in her usual state of health." + }, + { + "input": "Earlier this year the mom experienced a twin loss at 18 weeks.", + "output": "The patient is nulliparous." + }, + { + "input": "She then went to the bathroom and noted bright red urine.", + "output": "The patient has no rbcs in her urine." + }, + { + "input": "Basal cell carcinoma 15.", + "output": "No history of cancer." + }, + { + "input": "Patient states that he has had to crush pills prior to swallowing.", + "output": "The patient is able to swallow pills whole." + }, + { + "input": "Typically is constipated, had diarrhea this am. he denies etoh or nsaid use.", + "output": "The patient is constipated." + }, + { + "input": "His baseline copd is 6l o2 at rest, 7l with exertion; he is fatigued after walking ten feet.", + "output": "Patient has good saturations on room air." + }, + { + "input": "Per [**last name (un) **] plan is to return to the or with dr. [**last name (stitle) **] for a repeat wash out in effort to treat this infection.", + "output": "Patient has no signs for infection." + }, + { + "input": "[**known patient lastname 8925**] is a 66 year old woman with a history of copd who initially presented to [**hospital 8926**] hospital ed with copd exacerbation and after discharge on [**2-27**] had respiratory arrest thought to be secondary to pneumonia/mucus plugging.", + "output": "The patient has normal lung function." + }, + { + "input": "History of ventricular tachycardia on amiodarone 9.", + "output": "The patient does not have a cardiac arrhythmia." + }, + { + "input": "He reports that his breathing had been feeling ok until last night, when he was driving home and had a fit of coughing productive of yellowish sputum.", + "output": "The patient has no pulmonary symptoms." + }, + { + "input": "In [**3450-8-20**], she experienced intermittent facial and tongue swelling controlled with benadryl, and in [**3450-10-20**], she was hospitalized and intubated for increased facial and tongue swelling.", + "output": "She has no history of allergic reactions." + }, + { + "input": "He had no history of syncope.", + "output": "He has a history of lightheadedness and loss of consciousness." + }, + { + "input": "Subsequent head ultrasounds on [**2559-12-31**], [**2560-1-7**], [**2560-1-11**] and [**2560-1-29**] have shown gradually resolving intraventricular hemorrhage with normalizing ventricular size.", + "output": "Patient has normal ventricular size." + }, + { + "input": "The patient received aspirin and lopresor and was started on heparin, nitroglycerin and integrilin drips.", + "output": "Normal cardiac function." + }, + { + "input": "The patient continued progressive vent wean and went back to [**hospital1 1304**].", + "output": "Patient has normal breathing." + }, + { + "input": "69 yo m with hx of hocm x 15 yrs, htn, hyperchol, remote tob abuse who presents for etoh ablation after being symptomatic on maximal medical therapy and echo showing peak lv aortic pressure grad 20 at rest and 80 post pvc and 94 after valsalva.", + "output": "The patient has a normal heart." + }, + { + "input": "On the day of admission the patient was found cyanotic.", + "output": "The patient appeared normal." + }, + { + "input": "Patient given unasyn for urinary tract infection and 1l ns.", + "output": "No history of uti." + }, + { + "input": "There was a re-discussion of her code status, and the patient desired to be do not resuscitate/do not intubate.", + "output": "The patient wants everything done." + }, + { + "input": "Ef 47%, hypokinetic apex; 133 ml contrast --tte [**3050-11-18**]: ef 25%; severe lv systolic dysfunction; apical dyskinesis; global lvhk; [**2-10**]+ mr; loculated effusion 2.", + "output": "Patient has normal echo." + }, + { + "input": "Osa, intolerant to cpap 9. h/o mrsa pna 10.", + "output": "Tolerates cpap well." + }, + { + "input": "Status post abdominal hernia repair.", + "output": "The patients has never had surgery." + }, + { + "input": "Hypercholesterolemia (not on statin due to elevated lfts) 5.", + "output": "Patient has normal blood work." + }, + { + "input": "Length 51.5 cm, 75th to 90th percentile.", + "output": "The patient is small for age." + }, + { + "input": "Hypertension cad- s/p cabg about 20yrs ago. abnormal stress and cath in [**12-11**] at [**hospital1 52**] ischemic cardiomyopathy with ef of 40% dm ii alzheimer's dementia history of recurrent syncope", + "output": "Patient has negative psh." + }, + { + "input": "Anemia, baseline hematocrit 31.", + "output": "The patient has normal hematocrit." + }, + { + "input": "Head ct again shows left temporal lobe contusion and left parietal lobe contusion which developed after the prior head ct.", + "output": "Head ct was unremarkable." + }, + { + "input": "On presentation to the osh vs 97.0; hr 57; bp 60/palp; rr 24; o2 sat 86% on ra (96% on nrb).", + "output": "The patient is hypertensive." + }, + { + "input": "Infant was born by vaginal delivery.", + "output": "The patient was born via c section." + }, + { + "input": "Weaned off bipap and sating well with nc.", + "output": "The patient has normal lungs." + }, + { + "input": "She denied dysuria but did have urinary frequency and notice mild nonproductive cough.", + "output": "The patient has dysuria." + }, + { + "input": "History of gastritis.", + "output": "The patient has never had abdominal pain." + }, + { + "input": "Given lasix, ceftriaxone, azithromycin, solumedrol, albuterol, atrovent.", + "output": "No medications were given." + }, + { + "input": "-chronic mesenteric ishcemia -s/p aortobifemoral artery bypass [**3429**] -occluded sma and celiac arteries -s/p abdminal stents x2 ([**3442**], [**3444**]) -hypercholesterolemia -s/p splenectomy [**12/3444**] -reflux -emphysema", + "output": "The patient has never had surgery." + }, + { + "input": "Pathology of pleura biopsy no evidence of malignancy.", + "output": "The cells biopsied were cancerous." + }, + { + "input": "History of present illness: the patient is a 69 -year-old woman who is status post trigeminal nerve decompression on [**3361-10-22**].", + "output": "She has no surgical history." + }, + { + "input": "Gastroesophageal reflux disease.", + "output": "Oral prednisone treats this condition." + }, + { + "input": "Gastroesophageal reflux disease.", + "output": "Patient has normal egd." + }, + { + "input": "Received 4 l ns.", + "output": "The patient has no iv access." + }, + { + "input": "He presented over there on [**5-18**] with chest pain after mild exertion without nausea, without vomiting, without change in vision.", + "output": "He complained of diplopia." + }, + { + "input": "Patient called ems reportedly in the morning stating that she \"was going to kill\" herself.", + "output": "The patient has." + }, + { + "input": "53 year old man with cad who sustained an mi in [**2-4**].", + "output": "Patient has no cardiac history." + }, + { + "input": "She underwent a re-ercp with replacement of a stent as well as redrainage of the ascites fluid.", + "output": "She has normal hepatic function." + }, + { + "input": "The patient was found to be in rapid ventricular response at 150 to 170 beats per minute.", + "output": "The patient is not tachycardic." + }, + { + "input": "On the morning of [**3037-1-9**] (2 days pta), ms.[**name (ni) 17984**] mother discovered that [**known patient firstname 17985**] sheets were drenched with fluid from her legs and feet.", + "output": "The patient has normal legs." + }, + { + "input": "Of note, pt stated that he quit smoking and drinking on [**month/day (3) 152**].", + "output": "The patient continues to smoke." + }, + { + "input": "# esrd on hd - started in [**1-5**], mwf, ckd felt to be d/t li toxicity # osteoarthritis/djd # bipolar disorder # h/o pancreatitis [**10-2**] # pancreatic divisim # hypertension # h/o nephrogenic diabetes insipidus secondary to lithium # obesity # chronic cough # asthma", + "output": "The patient has normal renal function." + }, + { + "input": "Past medical history: history of coronary artery disease, status post myocardial infarction, last catheterization [**2995**], with a 68 percent left anterior descending coronary artery lesion and totally occluded diagonal and 50 percent lesion in obtuse marginal one, last stress in [**2995**], with multiple perfusion defects.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Post-partum cardiomyopathy: ef <20 on [**3409-9-13**].", + "output": "The patient has normal cardiac function." + }, + { + "input": "The night before admission, the patient had fallen out of bed twice, striking himself against a filing cabinet.", + "output": "The patient has no history of falls." + }, + { + "input": "Annual mammographies have been negative.", + "output": "The patient has positive mammograms." + }, + { + "input": "Here patient has put out 1.5 bags of watery, brownish/pink liquid effluent from ostomy and reports relief of nausea and abdominal pain following this.", + "output": "The patient has no surgical history." + }, + { + "input": "A-fib hypertension glaucoma", + "output": "Normotensive." + }, + { + "input": "History of recurrent deep venous thromboses on coumadin.", + "output": "No history of blood clots." + }, + { + "input": "This is a 60 year old male who developed presyncope and dyspnea while watching baseball on television.", + "output": "This patient denied shortness of breath." + }, + { + "input": "Vna bp 180/80, without postural hypotension.", + "output": "The patient is hypotensive." + }, + { + "input": "His initial presentation was bloody diarrhea and abdominal pain.", + "output": "Gastrointestinal function was normal." + }, + { + "input": "Hepatitis b, chronic carrier", + "output": "No history of liver disease." + }, + { + "input": "Severe gastroesophageal reflux disease.", + "output": "No history of gerd." + }, + { + "input": "Per her daughter she has been having shortness of breath for approximately one month.", + "output": "The patient denies shortness of breath." + }, + { + "input": "He was seen by podiatry on that hospitalization, who did not feel that his toes were the source of infection. .", + "output": "The patient does not have an infection." + }, + { + "input": "Patient also reporting numbness sensation extending down the length of the left upper extremity.", + "output": "The patient has a normal neurologic history." + }, + { + "input": "She was treated with magnesium sulfate, betamethasone and ampicillin, and transferred to [**first name4 (namepattern1) 1212**] [**last name (namepattern1) **] [**first name (titles) **] [**last name (titles) **].", + "output": "She is asymptomatic." + }, + { + "input": "The patient is found to have \"several ulcers\".", + "output": "The patient does not have any open sores within the skin or gi system." + }, + { + "input": "He also has a history of hypertension.", + "output": "No history of high blood pressure." + }, + { + "input": "History of present illness: [**known patient lastname 6318**] is a 10-day old newborn infant being readmitted with hyperbilirubinemia.", + "output": "The infant's bilirubin levels are within normal limits." + }, + { + "input": "Cva with l paralysis on [**9-5**] 4.", + "output": "No neurological symptoms." + }, + { + "input": "Cri with acute creatinine rise post cardiac catheterization mi [**3035**] pvd af dvt diabetes htn neuropathy/retinopathy iron deficiency anemia depression/anxiety s/p subdural hematoma with evacuation multiple pci's atrial flutter ablation [**3032**] multiple toe amputations green field filter placement s/p right lower extremity bypass left saphenous vein harvest aortic stenosis", + "output": "No history of hyperglycemia." + }, + { + "input": "On arrival to ed, she was febrile to 102.2, hr 109, rr 22.", + "output": "The patient has a normal heart rate." + }, + { + "input": "Stool studies performed on [**3440-1-31**] were unrevealing: no microsporidium, no cyclospora, no salmonella or shigella, no campylobacter, no ova and parasites, no vibrio, no yersinia, no e.coli 0157:h7 found, no cryptosporidium or giardia, feces negative for c.", + "output": "Stool cultures were positive." + }, + { + "input": "Conservative management with antibiotics was planned. .", + "output": "The patient received no treatment." + }, + { + "input": "During the procedure he was found to have low cardiac output index with cardiac output 3.7 and index of 1.78, necessitated input of an intra-aortic balloon pump.", + "output": "Cardiac function is normal." + }, + { + "input": "Status post angioplasty in [**2666**].", + "output": "Patient has no cad." + }, + { + "input": "A fine needle aspiration for cytology demonstrated highly atypical epithelial cells.", + "output": "Patient has no history of fna." + }, + { + "input": "A stress mibi was done on [**3023-6-4**], he exercised for five and a half minutes on [**initials (namepattern4) **] [**last name (namepattern4) 298**] protocol and was stopped secondary to fatigue.", + "output": "The patient has not had coronary artery disease risk stratification." + }, + { + "input": "[**known patient lastname 274**] has been hospitalized in [**3257-10-7**] for pneumonia.", + "output": "The patient has no history of pneumonia." + }, + { + "input": "He does not know any of his medications, but he says he has been taking them with the exception of labetalol (which he missed \"a few days\" and lasix missed \"1 day\" - he did not take any meds this morning at all).", + "output": "The patient has not missed any medication doses." + }, + { + "input": "The patient's course was complicated by citrobacter and vre bacteremia as well as acinetobacter growing from the sputum.", + "output": "The patient has no bacterial infection." + }, + { + "input": "63m with hx of cad (no stents), pvd, dm, htn who presents with resp failure and pea arrest.", + "output": "The patient has no cardiac history." + }, + { + "input": "Ct abdomen showed ?diverticular abscess and he was started on levaquin/flagyl initially.", + "output": "Patient had a normal ct." + }, + { + "input": "He denies currently chest pain, dyspnea, dizziness.", + "output": "He complains of shortness of breath." + }, + { + "input": "The right main bronchus had evidence of metal debris, probably from the stent at the medial aspect of the right main bronchus.", + "output": "The pateint has a normal chest x ray." + }, + { + "input": "Left side, very depressed left ventricular function and no blood in the peritoneum.", + "output": "Normal cardiac function." + }, + { + "input": "The parents are in narcotics anonymous and report the mother's last substance use was 8 months at the time of the first prenatal visit which is 15 to 16 months at the time of delivery.", + "output": "Parents have no history of substance abuse." + }, + { + "input": "Given 1 am d50 with improvement in fs to 240.", + "output": "Patient has normal serum glucose." + }, + { + "input": "The next morning, the patient was noted to be more lethargic, unable to answer questions, and had a new left hemiparesis, and neurology was consulted.", + "output": "The patient has a normal neurologic exam." + }, + { + "input": "Dysphagia, motility study in [**3450-12-18**] showed no esophageal contraction.", + "output": "Denies difficulty swallowing." + }, + { + "input": "Decision was made to deliver via cesarean section.", + "output": "The patient had a vaginal delivery." + }, + { + "input": "Due to concern for pe, he was bolused with heparin and then started on heparin gtt.", + "output": "The patient received no blood thinners." + }, + { + "input": "The patient was moving all four extremities but not responding with opening eyes or following any commands.", + "output": "The patient was alert, oriented and a good historian." + }, + { + "input": "He was started on a labetalol gtt for bp control.", + "output": "Patient has normal vital signs." + }, + { + "input": "H/o heavy etoh use and dts 7.", + "output": "No side effects from alcohol abuse." + }, + { + "input": "The patient's birth weight was 4145 g which made him greater than 90 percentile.", + "output": "The patient had intrauterine growth restriction." + }, + { + "input": "Also febrile to 101.", + "output": "Patient is afebrile." + }, + { + "input": "He was intubated in the cath lab.", + "output": "The patient is on room air." + }, + { + "input": "Oxygen sat prior to intubation noted to be 60-98%; fingerstick blood sugar 106.", + "output": "Patient has normal o2 saturations." + }, + { + "input": "History of prostatitis.", + "output": "The patient has a normal prostate." + }, + { + "input": "There is no free fluid or lymphadenopathy within the pelvis.", + "output": "Free fluid was found on pelvic ultrasound." + }, + { + "input": "He was transfered to the icu for further care. .", + "output": "He was discharged home." + }, + { + "input": "He was feeling nauseated and began vomiting and continued to have hematemesis for three days until he was transferred to [**hospital1 68**] for definitive care.", + "output": "Patient has negative ros." + }, + { + "input": "Progression of labor prompted c-section due to fetal positioning.", + "output": "Patient has a vaginal delivery planned." + }, + { + "input": "Irritable bowel syndrome.", + "output": "Normal gastrointestinal function." + }, + { + "input": "Given that he had recently been admitted to [**hospital1 22**] for similar symptoms, the rehab staff was concerned that he had again experience a syncopal episode, and sent him to [**hospital1 **] ed for further evaluation.", + "output": "The patient was at home prior to the event." + }, + { + "input": "Left hip osteoporosis.", + "output": "No history of bone disease." + }, + { + "input": "The patient was seen in the office by dr. [**last name (stitle) **] and admitted for iv hydration prior to angiogram.", + "output": "Patient has no cause for intervention." + }, + { + "input": "Initial tylenol level at [**hospital3 **] 353, repeat @ [**hospital1 22**] 4hours later found to be 219.", + "output": "The patient has not had any tylenol." + }, + { + "input": "[**known patient lastname **] is a 63-year-old gentleman who developed weakness, diaphoresis, slurred speech, and nausea, as well as headache and came to the emergency room and was found to have a large cerebellar bleed and dilatation of ventricles.", + "output": "The patient has a normal head ct." + }, + { + "input": "A large amt of clots were seen in the stomach without other etiology.", + "output": "Imaging of the abdomen was unremarkable." + }, + { + "input": "In the ed she initially triggered for hypoxia of 82% on ra in triage, but on recheck was 100% on ra.", + "output": "The patient requires a nonrebreather oxygen mask." + }, + { + "input": "Pmh: hypertension, hypercholesterolemia, diabetes, endometrial cancer (recently diagnosed), gi bleed (5 yrs ago), rheumatoid arthritis, strep throat with abscess, s/p bunion surgery, s/p repair of deviated septum, s/p removal of sebaceous cysts", + "output": "The patient has normal blood sugars." + }, + { + "input": "She was treated with vanc, zosyn, and flagyl.", + "output": "The patient is not on antibiotic treatment." + }, + { + "input": "He was born to a 24- year-old gravida iii, para 0, now i mother by spontaneous vaginal delivery with apgar scores of 6 at 1 minute and 8 at 5 minutes.", + "output": "He presented with normal apgar scores at birth." + }, + { + "input": "A restaging ct was performed on [**2704-6-27**] and uncovered a pe in a small branch of the lll pulmonary artery.", + "output": "The patient has a normal chest ct." + }, + { + "input": "Retinal bleed of the left eye - the patient is followed at [**location (un) 100**] ophthalmologic.", + "output": "The patient has no eye problems." + }, + { + "input": "History of present illness: this is an 82 year-old male patient with a one year history of presyncope with recent increase in symptoms three to four weeks prior to admission.", + "output": "The patient has improving symptoms." + }, + { + "input": "Upon the patient's arrival to the [**last name (lf) **], [**first name3 (lf) **] surgery was consulted for evaluation of the mediastinal abscess.", + "output": "The patient has no infection." + }, + { + "input": "Physical exam upon admission to the neonatal intensive care unit: weight 1.465 kg, length 42 cm, head circumference 27.5 cm.", + "output": "The patient has normal birth weight." + }, + { + "input": "Her most recent scopes were last [**month (only) 541**], when 2 angioectasias in the stomach, one in the jejunum, one in the descending colon were found. -poorly controlled dmii -hypertension -asthma -anemia - profound iron deficiency [**2-24**] gastric and duodenal av malformations as above, transfusion dependent, hct baseline around 22-29 -depression -migraines -obesity -chronic abdominal pain -delayed gastric emptying -diverticulosis -extensive dvt [**3-2**] s/p thrombectomy, ivc filter placement, common and external iliac vein stenting on coumadin/plavix -osa, on home bipap vs cpap -?", + "output": "The patient has no medical history." + }, + { + "input": "The patient stated that he had approximately 3-4 episodes of pnd over the 2 nights prior to admission.", + "output": "The patient has had no shortness of breath." + }, + { + "input": "Hyperparathyroidism status post parathyroidectomy.", + "output": "Patient has not had surgery." + }, + { + "input": "The patient was also clostridium difficile positive on the day of transfer to [**hospital 118**] rehabilitation hospital.", + "output": "The patient had no evidence of infection." + }, + { + "input": "Presently, feels well, denies focal numbness/weakness/visual changes, denies claudication, edema, orthopnea, pnd, cp.", + "output": "The patient complains of chest pain." + }, + { + "input": "A chest x-ray showed increased pleural effusion.", + "output": "Patient has normal cxr." + }, + { + "input": "Post cath the patient felt nauseous, lightheaded, was found to have sbp in 70's.", + "output": "Patient has normal hgb and hct." + }, + { + "input": "Unknown gbs status.", + "output": "The patient has known group b strep." + }, + { + "input": "Currently mother has a restraining order against him.", + "output": "The patient is has no legal issues." + }, + { + "input": "R 18 guage was placed, lij was attempted x3 without success due to inability to pass the wire.", + "output": "The procedure was successful." + }, + { + "input": "Type 2 dm on insulin, w/severe neuropathy (?autonomic) 6. gastritis 7. s/p ccy 8.", + "output": "Patient has no chronic disease." + }, + { + "input": "It is unknown how much of this is baseline or if any is new.", + "output": "The patient has never had these signs or symptoms before." + }, + { + "input": "She had no focal motor disturbances, no headache or gaze disturbances.", + "output": "The patient has focal motor symptoms." + }, + { + "input": "Per his son at his nursing home the last few days he has had copious diarrhea that more recently has had blood in it, vomitting, and has been sweating profusely at night without fevers or obvious rigors.", + "output": "The patient does not have symptoms of an infection." + }, + { + "input": "At that time, he also developed a dvt and had an ivc filter placed.", + "output": "The patient does not have an intravascular filter." + }, + { + "input": "Bnp 3698 ( up from 98 in [**may 2700**]).", + "output": "Bnp remained stable." + }, + { + "input": "He was transferred to [**hospital1 22**] for neurosurgical care.", + "output": "He has no neurological dysfunction." + }, + { + "input": "He was seen by his physician and then evaluated in the emergency room for chf and treated with lasix.", + "output": "Patient has normal ef." + }, + { + "input": "Maternal prenatal labs: blood type a positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, gbs unknown.", + "output": "Patient has blood type b positive." + }, + { + "input": "Pt was d/cd home on [**2812-5-21**].", + "output": "The patient remained inpatient." + }, + { + "input": "She was given a total of 6 mg of ativan with improvement of twitching.", + "output": "She received ativan with no relief." + }, + { + "input": "The patient was unable to answer questions, so all history was obtained by the patient's primary care physician, [**last name (namepattern4) **].", + "output": "The patient was a good historian." + }, + { + "input": "Review of systems is unobtainable due to the patient's mental status.", + "output": "The patient is a reliable historian." + }, + { + "input": "This am patient couldn't get out of bed or move his left side so son called ems.", + "output": "Patient has normal neurological exam." + }, + { + "input": "End stage renal disease on hemodialysis, q.", + "output": "Patient has normal gfr." + }, + { + "input": "End stage renal disease on hemodialysis, q.", + "output": "The patient has normal renal function." + }, + { + "input": "History of coronary artery disease with cardiomyopathy, ejection fraction of 25% has a mechanical mitral valve placement.", + "output": "The patient has normal cardiac function." + }, + { + "input": "22 year old m/ w/ h/o dm1 c/b neuropathy, on home regimen of nph 17/15 with riss.", + "output": "The patient\u2030\u00fb\u00aas blood sugars are always within normal limits." + }, + { + "input": "In the ed, vitals 101.8, 110, 75/20, 19, 99%.", + "output": "Patient has normal vital signs." + }, + { + "input": "She was initially transferred to the floor, however after surgery reviewed her osh ct scan they felt that should just remain in the icu for aggresive fluids. .", + "output": "The patient is volume overloaded." + }, + { + "input": "History: baby girl [**known patient lastname 1023**] is the former 34 and [**2-20**] week infant girl, admitted to the newborn intensive care unit for issues of prematurity.", + "output": "The patient was born at term." + }, + { + "input": "He denied chest pain, fevers, chills, cough, sputum production or increasing oxygen requirement.", + "output": "The patient has pneumonia." + }, + { + "input": "She was otherwise asymptomatic.", + "output": "She had debilitating symptoms." + }, + { + "input": "Ems activated, who noted crackles and le edema on exam so was given lasix 80mg iv en route.", + "output": "The patient has a normal respiratory exam." + }, + { + "input": "Patient also has developed an ulcer on the right heel that has been present since [**2529-11-2**].", + "output": "The patient has no skin ulcerations." + }, + { + "input": "Cad s/p coronary stent placement 3.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Patient normally drinks 6beers/day, but will binge for patriot's games.", + "output": "The patient does not drink alcohol." + }, + { + "input": "She was discharged to rehab the morning of [**2650-10-26**].", + "output": "Patient has been sent home." + }, + { + "input": "Denies chest pain or tightness.", + "output": "Patient has chest pain." + }, + { + "input": "Prior to transfer, she was given continuous nebs and solu-medrol 60 mg iv x 1.", + "output": "Patient has normal pfts." + }, + { + "input": "Nephrolithiasis winter eczema depression intermittant small bowel obstruction", + "output": "The patient does not have a past medical history." + }, + { + "input": "The infant was transferred to the newborn intensive care unit.", + "output": "The infant was discharged home." + }, + { + "input": "Soon thereafter sbp dropped to the 70s and she was bolused a total 5l ns.", + "output": "The patient\u2019s main problem is hypertension." + }, + { + "input": "1) [**11/3167**] optimal debulking serous ovarian carcinoma w/removal of omental caking and drainage of ascitic fluid (2.5 l) 2) [**11/3167**] pleural effusion 3) s/p 1 cycle taxol/carboplatin w/mild response and 2 cycles docagem (docataxel, carboplatin, gemcitabine) w/excellent response (ca-125 nadir 7.5) 4) [**1-/3169**] recurrence, s/p 3 cycles taxol/carboplatin, followed by complete remission (6 months between remission).", + "output": "Patient has no oncologic history." + }, + { + "input": "He was brought to the emergency room where he was noted by emergency room staff to have a 15-minute episode of moaning and garbled speech.", + "output": "Patient had a normal neurological exam." + }, + { + "input": "In ed, she was afebrile, tachycardic in afib and hemodynamically stable but tachypneic despit e100% sat on 3l.", + "output": "The patient is febrile." + }, + { + "input": "Mother was transferred from [**hospital6 1238**] for further treatment of hellp syndrome.", + "output": "Pregnancy was uncomplicated." + }, + { + "input": "Intubated for airway protection with 8.0 ett without difficulty.", + "output": "The patient received 2l oxygen via nasal cannula." + }, + { + "input": "He has noted one week prior to admission progressive increase he had a pulses paradoxus of 15 in the emergency department.", + "output": "Systolic blood pressure during expiration and inspiration is less than 10." + }, + { + "input": "She does not report throat swelling or tongue swelling.", + "output": "She complains of enlarged tongue and difficulty breathing." + }, + { + "input": "Past medical history: coronary artery disease status post mild mitral regurgitation.", + "output": "No history of cardiac disease." + }, + { + "input": "Transferred to [**hospital1 **] for cath which revealed total occlusion of the lad.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "His lymphoma was resistant to multiple courses of chemotherapy, and he then underwent transplant in [**2638**]. .", + "output": "Patient has not had surgery." + }, + { + "input": "She felt heaviness of the left arm and leg.", + "output": "The patient has a normal functioning left arm and leg." + }, + { + "input": "Once on the medicine floor, the pt's daughter reported that the pt's face appeared to be swollen, and she was transferred back to the pacu.", + "output": "The pt tolerated the procedure well and was discharged home." + }, + { + "input": "Aortic endocarditis: s/p porcine avr in [**2625**] following mssa endocarditis c/b both left and right heart failure, septic emboli to kidney and spleen.", + "output": "No history of heart valve replacement." + }, + { + "input": "This 48-year-old [**first name3 (lf) 1214**] has mental retardation and a seizure syndrome.", + "output": "Patient has normal neurological exam." + }, + { + "input": "Twenty minutes later the patient had a grand tonic-clonic seizure in the transport vehicle and the patient's blood glucose was reported at 207 at the time.", + "output": "The patient\u2019s blood glucose was low." + }, + { + "input": "She subsequently developed a fever of 102.3.", + "output": "The patient is afebrile." + }, + { + "input": "That night she noticed spots of brb in toilet after tarry bm and blood streaking the tp.", + "output": "Patient has negative ros." + }, + { + "input": "Past medical history: noncontributory.", + "output": "Past medical history is significant." + }, + { + "input": "History of present illness: the patient is a 48-year-old male with severe obesity, insulin-dependent diabetes mellitus, and osteoarthritis, who presented with shortness of breath and chest pain.", + "output": "The patient denies pain." + }, + { + "input": "1 episode of suicide attempts \"with pills\" in [**3170**]", + "output": "Patient has normal psychiatric evaluation." + }, + { + "input": "While at home, he took 80 mg lasix x 2 days and aldactone 200 mg x 2 days per his renal physician. .", + "output": "Patient has no medical conditions." + }, + { + "input": "Pt had ecg w/ new 1-2mm st elevation in v1-v2, and 2mm st depression v4-v6, twi v3-v6.", + "output": "The patient is not having acute coronary syndrome." + }, + { + "input": "She was transferred to [**hospital6 656**] for cardiac catheterization and given an ultrasound showing a 90% stenosis of the left carotid from which she was apparently asymptomatic having never described transient ischemic attacks, language difficulty or prior stroke events.", + "output": "She has a history of strokes." + }, + { + "input": "Upon arrival to ed, patient was unresponsive with decerebrate posturing.", + "output": "The patient is alert." + }, + { + "input": "The patient has had recent admissions for chronic obstructive pulmonary disease exacerbations in [**3227-1-5**] and in [**3227-2-5**].", + "output": "The patient has normal respiratory function." + }, + { + "input": "64m pmh mechanical mvr, recent admission for sdh s/p evacuation p/w subtherapeutic inr.", + "output": "The patient has no surgical history." + }, + { + "input": "History of oophorectomy.", + "output": "Patient has both ovaries." + }, + { + "input": "Yesterday, around noon, a thrombus was noted on angiogram.", + "output": "The angiogram was negative." + }, + { + "input": "50 yo m with esrd secondary to amyloidosis on hd, h/o pulmonary aspergillosis (mycetoma), and multiple other medical problems p/w cp during hemodialysis.", + "output": "The patient has normal renal function." + }, + { + "input": "He had a prolonged post op course and was eventually [**date range 18989**] and had a gastrostomy tube.", + "output": "The patient had normal oral intake." + }, + { + "input": "The infant was born via cesarean section for a non-reassuring fetal heart tracing.", + "output": "Patient born via vaginal delivery." + }, + { + "input": "As the patient usually has minimal complaints, she contact[**name (ni) **] her physician who recommended er evaluation.", + "output": "The patient self referred herself to the ed." + }, + { + "input": "In [**hospital1 18**] ed found to be in af.", + "output": "The patient has normal rhythm." + }, + { + "input": "19 year-old right-handed gentleman without significant past medical history who presented with seizure.", + "output": "Patient has chronic medical conditions." + }, + { + "input": "history of present illness: 49m dm2, dvt, h/o large l mca cva on [**8-21**], returns from rehab following witnessed ?seizure and hypoxia.
per ems records, patient was found slumped on right side and unresponsive, with foaming at mouth.", + "output": "Patient has no chronic conditions." + }, + { + "input": "Multiple diverticula in the descending and sigmoid colon, some with adherent clot.", + "output": "Colon appeared unremarkable." + }, + { + "input": "She was diagnosed with sarcoid via a right thoracoscopic biopsy.", + "output": "The patient does not have an autoimmune disease." + }, + { + "input": "Following bolus of propofol for sedation, bp dropped to sbp 80.", + "output": "The patient is normotensive." + }, + { + "input": "Blood and urine cultures from this admission were pending.", + "output": "No signs or symptoms of infection." + }, + { + "input": "History of present illness: 55 year old female status post cadaver kidney transplant [**2758-1-16**], complicated by delayed graft function, seen in the office by dr. [**last name (stitle) **] [**2758-1-27**].", + "output": "Patient has normal cr." + }, + { + "input": "The mother received rhogam at 28 weeks gestation.", + "output": "The mother did no receive rho(d) immune globulin." + }, + { + "input": "Each admission makes note of a completely negative workup including negative cardiac enzymes, no ecg changes, and ct scans which show no evidence of nephrolithiasis.", + "output": "The patient has never received medical care before." + }, + { + "input": "Anthropometric measurements at the time of birth: weight 3.080 kg, 50 to 75th percentile.", + "output": "The patient has low birth weight." + }, + { + "input": "The next episode occurred when she was playing cards and she transiently lost vision in the right half of space.", + "output": "The patient has no neurologic symptoms." + }, + { + "input": "This is a 33-year-old gravida 4, para 1, 0, 3, 1, who preoperatively voiced understanding of her gyn pathology and agreed to the risks of the surgical procedure which included transfusions.", + "output": "She declined surgery." + }, + { + "input": "Past medical history: remarkable for asthma.", + "output": "The patient does not have asthma." + }, + { + "input": "She noted fever to 101.", + "output": "Patient has normal temperature." + }, + { + "input": "Presbyacusis with severe hearing impairment 11.", + "output": "The patient has normal hearing in both ears." + }, + { + "input": "He was managed overnight in the emergency department with nebulizers, high-dose steroids, antibiotics including pcp coverage and was taken on the following day to the or, by ct surgery, for open-lung biopsy to take samples of the right lower lobe and right middle lobe.", + "output": "He has normal lung function." + }, + { + "input": "2 unit prbcs transfused. .", + "output": "The patient was not transfused." + }, + { + "input": "The patient also began to have some diarrhea.", + "output": "Normal gi function." + }, + { + "input": "Further evaluation included an echocardiogram which showed no significant valvular disease and a carotid ultrasound which showed normal internal carotid arteries.", + "output": "The patient has aortic stenosis." + }, + { + "input": "He described the pain as constant sharp [**5-1**] epigastric pain with no radiation.", + "output": "The patient has no pain." + }, + { + "input": "In the ed, he was noted to have a tc of 103.8 (rectally), hr 134, bp 124/74, rr 42, sao2 88%/nrb.", + "output": "Vitals were within normal limits." + }, + { + "input": "History of present illness: the patient is a 63-year old female with a past medical history of stage iii lung cancer (status post chemotherapy, xrt, and left pneumonectomy in [**2936-3-12**]), left lower extremity dvt, hypertension, atrial fibrillation, and recent c. difficile colitis.", + "output": "The patien thas no medical history." + }, + { + "input": "Her latest echocardiogram at [**hospital1 810**] on [**3284-8-15**], revealed an ejection fraction of greater than 65%, mild lae, mild symmetrical left ventricular hypertrophy with normal cavity size and regular wall motion; mild thickened atrial valve and mitral valve leaflets; moderate pulmonary hypertension; small to moderate pericardial effusion predominantly over the right ventricle.", + "output": "The patient has no pericardial effusion." + }, + { + "input": "An echocardiogram on [**3264-1-25**] with depressed left ventricular systolic function with an ejection fraction of 20%.", + "output": "The patient has normal heart function." + }, + { + "input": "In [**5-/3433**] he had a cipher stent to the rca.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "He was started on heparin and had ventricular fibrillation.", + "output": "He has normal cardiac rhythm." + }, + { + "input": "Pt received 2 units of blood.", + "output": "The patient has not been transfused." + }, + { + "input": "He does not wish to go back to home with wife.", + "output": "The patient would like to return home." + }, + { + "input": "He received two laser surgery treatments in the right eye.", + "output": "Patient has normal eye exam." + }, + { + "input": "The patient was scheduled for elective innominate artery reconstruction.", + "output": "The patient has normal arterial anatomy." + }, + { + "input": "Afib s/p tte cardioversion [**3-/2808**]", + "output": "Patient has not had an intervention." + }, + { + "input": "The patient is now evaluated in the emergency room and admitted to the vascular service, icu, for continued care.", + "output": "Patient has no symptoms requiring admission." + }, + { + "input": "She was admitted to the icu for non-invasive ventilation, which she could not tolerate; she was subsequently intubated.", + "output": "The patient is on room air." + }, + { + "input": "Subdural hematoma s/p craniotomy ([**6-/3497**]) w/ residual left-sided hemiparesis.", + "output": "The patient has no neurologic deficits." + }, + { + "input": "Apgars were 7 at one minute and 8 at five minutes.", + "output": "Apgars were critically low." + }, + { + "input": "History of seizures secondary to work related head injury.", + "output": "No history of head trauma." + }, + { + "input": "History: baby [**name (ni) **] [**name2 (ni) 21436**] is the 2665 gram product of a 35 week gestation pregnancy.", + "output": "The baby was born at full term." + }, + { + "input": "Congestive heart failure with an ejection fraction of 15 to 20%.", + "output": "Patient has normal systolic function." + }, + { + "input": "Per toxicology consultant these were possibly concerning, although not strikingly so, and he recommended bicarb as well as a repeat ekg tomorrow to monitor for changes. .", + "output": "The patient has not been consulted on by toxicology." + }, + { + "input": "Irritable bowel syndrome 11.", + "output": "The patient has normal bowel function." + }, + { + "input": "No response to ivig, low and high dose prednisone therapy, and life-threatening intravascular hemolysis following winrho.", + "output": "The patient responded well to ivig and steroid treatment." + }, + { + "input": "S/p right femoral popliteal bypass 14.", + "output": "No surgical history." + }, + { + "input": "He was recently discharged (hospitalized from [**date range (1) 3220**]) from the [**doctor last name 3221**]-[**doctor last name 672**] service for altered mental status, increased lethargy and confusion which was attributed to hepatic encephalopathy and uti.", + "output": "The patient has normal liver function." + }, + { + "input": "Type 2 diabetes.", + "output": "Patient has normal blood glucose levels." + }, + { + "input": "Type 2 diabetes.", + "output": "Type 1 diabetes." + }, + { + "input": "Type 2 diabetes.", + "output": "Normal metabolic function." + }, + { + "input": "Type 2 diabetes.", + "output": "No history of hyperglycemia." + }, + { + "input": "History of present illness: the patient is a fifty-six-year-old gentleman with a past medical history significant for cerebrovascular accident times two in [**2573**] and [**2574**] and subdural hematoma in [**2581-3-1**], who was transferred here from good [**hospital 5093**] hospital with new frontal bleed, 3 cm x 4 cm.", + "output": "The patients brain is normal appearing." + }, + { + "input": "In [**2673-11-28**], the patient had an mri which showed thickening of the bladder wall, involvement of potential submucosal layers with extension to perivesicular fat, severe hydronephrosis on the left side with a minimal functioning left kidney.", + "output": "The patient has normal functioning kidneys." + }, + { + "input": "His epileptologist is dr. [**last name (stitle) 12928**]. - baseline sz frequency is usually 2 grand mal sz per year with loc and vomiting/fatigue postictally; 2-3x/wk \"smaller\" sz with head extension back, left arm elevation lasting seconds at a time - s/p vagus nerve stimulator - mental retardation - cerebral palsy - dandy walker syndrome - chronic right eye exotropia - s/p ventriculoperitoneal shunt - s/p avm removal [**2756**] - s/p r temporal lobectomy - left hemiparesis and hemihypoplasia -agenesis of left cerebellum - depression -hx left knee and hip fractures with a rod in his leg -hx (possible) gi bleed - also periodically has coffee-grounds emesis following grand-mal sz -htn -prostate cancer, undergoing daily xrt 5 days/week, started on [**2773-1-24**].", + "output": "The patient has no history of seizures." + }, + { + "input": "In the ed, initial vs were: t 98, p 100, bp 148/78, r 34, o2 sat 90%2l nc.", + "output": "Patient is febrile." + }, + { + "input": "The patient was the driver who struck a pole at unknown speed.", + "output": "The patient was not involved in a trauma." + }, + { + "input": "She was d/c'd from [**hospital1 909**] on sunday night w/o abx, to attend her [**hospital **] clinic appointment at [**hospital1 68**].", + "output": "The patient is not safe for discharge." + }, + { + "input": "Hypertension, bph, atrial fibrillation, idopathic pericardial effusion, s/pt appendectomy, s/p pericardiocentesis.", + "output": "Patient has norma sinus rhythm." + }, + { + "input": "(hct 26.9 on discharge.) of note, femoral line attempted at [**hospital1 **] but unsuccessful due to patient's agitation.", + "output": "The patient has a femoral line." + }, + { + "input": "The patient was originally admitted to [**hospital3 2429**] on [**3133-1-8**] for community acquired pneumonia after patient developed new onset pleuritic chest pain and shortness of breath while shoveling snow on [**holiday 6258**].", + "output": "The patient does not have an infection." + }, + { + "input": "A femoral line was placed.", + "output": "No central access was available." + }, + { + "input": "[**last name (stitle) 9227**], for presumed unstable angina.", + "output": "There is no chest pain." + }, + { + "input": "Ct head was negative per osh and labs were significant for wbc 50.2 with 28% bands, glucose 1259 with ag 35, k 7.2.", + "output": "Glucose and potassium were within normal limits." + }, + { + "input": "Mother with [** location **]us preterm infant requiring phototherapy.", + "output": "The infant is full term." + }, + { + "input": "Pt had two episodes of chest pain where ce cycled and neg x 3 no ekg changes.", + "output": "Patient has no symptoms." + }, + { + "input": "The patient was unable to wean off of 100% nonrebreather mask.", + "output": "The patient is on room air." + }, + { + "input": "Pt was started on ceftriaxone + levofloxacin.", + "output": "The patient received no medications." + }, + { + "input": "Trivial mitral regurgitation is seen.", + "output": "Patient has no mitral regurg." + }, + { + "input": "Dr. [**last name (stitle) 456**] of thoracic surgery was then consulted.", + "output": "The patient did not have a thoracic surgery consult." + }, + { + "input": "The yeast was speciated to [**female first name (un) **] albicans and therefore susceptible to fluconazole; therefore, the patient was kept on a two-week course.", + "output": "Patient has no complaints." + }, + { + "input": "Eyes were with bilateral red reflexes and normal irises.", + "output": "The patient has leukocoria." + }, + { + "input": "Significant for diabetes mellitus.", + "output": "The patient has normal blood sugars." + }, + { + "input": "History of insulin-dependent diabetes mellitus.", + "output": "Patient does not require insulin." + }, + { + "input": "He has had 2 tips procedures with stent placement in [**2931**] and again in [**2941**].", + "output": "Patient has normal portal pressures." + }, + { + "input": "Received full course of betamethasone and antibiotics.", + "output": "The patient has not had antibiotics." + }, + { + "input": "He was evaluated in the emergency room with a blood pressure of 63/30.", + "output": "The patient is hypertensive." + }, + { + "input": "She was discharged on lasix 20 mg po qd, and soon redeveloped shortness of breath, le edema and lethargy prompting her re-presentation to [**hospital1 68**] on [**2731-8-15**].", + "output": "The patient was significantly dehydrated." + }, + { + "input": "Bm bx revealed aml.", + "output": "Patient has not had a recent biopsy." + }, + { + "input": "Her mental status improved where she was intermittently following commands.", + "output": "She is alert and oriented to person place and time." + }, + { + "input": "The patient was followed by the oromaxillofacial service for the right medial canthus entry site of her gunshot wound.", + "output": "Patient has normal head ct." + }, + { + "input": "He has not suffered any ruq pain, and denies any severe headaches.", + "output": "The patient has right upper quadrant pain and headaches." + }, + { + "input": "In the ed, initial vs were: t97.8 p74 bp 156/74 rr 16 o2 sat 100%.", + "output": "The patient is septic." + }, + { + "input": "He was given 1.5 liters of ivf.", + "output": "The patient was hypervolemic." + }, + { + "input": "Cbc on arrival showed a significantly increased white blood cell count at 23.2 with a bandemia, 64 polys, 36 bands as well as ua consistent with urinary tract infection.", + "output": "The patient has no signs of infection." + }, + { + "input": "He did have a fever in the ed, received tylenol for the fever.", + "output": "Temperature was normal." + }, + { + "input": "[**known patient lastname **] is a 39 year old smoker w/hx of asthma, s/p 3 intubations (last 7 yrs pta), htn, dm, obesity who rpesented to [**hospital3 1846**] with sob/wheezing for 4 days prior to presentation.", + "output": "The patient has normal respiratory function." + }, + { + "input": "He was noted to have a k of 5.9 with slight qrs widening.", + "output": "The patient has a normal basic metabolic profile." + }, + { + "input": "The episode was thought to be secondary to vasovagal syncope.", + "output": "The patient did not have an episode." + }, + { + "input": "In [**2754-7-10**], she was started on sorafenib (nexavar).", + "output": "The patient does not have cancer." + }, + { + "input": "Recently he was found to have an invasive adenocarcinoma of the esophagus within a thickened nodule located approximately 37 cm from the incisors.", + "output": "Patient has a normal egd." + }, + { + "input": "48 yo m w/ hx of cad sp mi and stent to diagonal [**2634**] and stent to ptl in [**8-5**] p/w recurrent anginal symptoms. + stress test.", + "output": "The patient." + }, + { + "input": "Unstable angina cad htn hypercholesterolemia gerd", + "output": "The patient has no cardiac risk factors." + }, + { + "input": "Left renal artery stenosis, stented in [**3094-4-4**].", + "output": "Patient has normal renal arteries." + }, + { + "input": "Portable chest x ray showed lll collapse.", + "output": "The chest x ray is normal." + }, + { + "input": "Per nursing home, patient developed a uti [**2530-7-22**] with urine culture growing klebsiella sensitive only to ampicillin, imipenem, and gentamicin.", + "output": "The patient has a negative urinalysis." + }, + { + "input": "He underwent an ett which was positive and subsequently underwent a cardiac catheterization which revealed severe three vessel disease.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Neoadjuvant cytoxan/adriamycin/cisplatin--small response 2.", + "output": "The patient has no oncologic history." + }, + { + "input": "He had a upper endoscopy which showed grade 3 esophagitis with stigmatat of recent bleeding.", + "output": "The patient has a normal esophagus." + }, + { + "input": "Per family report was dry heaving today and not acting like herself, otherwise no changes in medical history or meds they believe. .", + "output": "The patient is behaving normally." + }, + { + "input": "A paracentesis was also done during that admission and showed no evidence of spontaneous bacterial peritonitis, and the patient was placed on ciprofloxacin for prophylaxis.", + "output": "The patient has a normal abdominal ultrasound." + }, + { + "input": "On arrival, her fs was 168.", + "output": "The patient is hypoglycemic." + }, + { + "input": "Right lower extremity cellulitis 4.", + "output": "History of diabetes." + }, + { + "input": "Ultimately, on [**3079-4-2**], the patient underwent vats: notable for an inflammatory process and negative for an infectious process.", + "output": "The patient has not had surgery before." + }, + { + "input": "In the history, the mother presented with spontaneous onset of labor.", + "output": "The labor was induced." + }, + { + "input": "Overlapping 2.25 x 15mm and 2.5 x 12mm bms were placed in the mid circumflex.", + "output": "Patient has had no intervention." + }, + { + "input": "12) morbid obesity", + "output": "The patient has a bmi of 20." + }, + { + "input": "The patient was started on heparin and med-flighted to [**hospital1 58**] for administration of thrombolysis.", + "output": "The patient has no symptoms." + }, + { + "input": "[**known patient lastname 15764**] is a 71 yo male who with a pmh of hypertension and mi, who presents with back pain of 2 weeks duration.", + "output": "The patient has no history of cardiac disease." + }, + { + "input": "He was started on nac q4hr with gradual decline in lft's and inr.", + "output": "His liver function is normal." + }, + { + "input": "The patient reported that on the day prior to his transfer here he experienced shortness of breath while walking to his gym, which resolved after about fifteen minutes of rest.", + "output": "The patient denies shortness of breath." + }, + { + "input": "In the ed received vancomycin and ceftriaxone.", + "output": "Received no treatment in the emergency room." + }, + { + "input": "Developed stuttering non-radiating ss chest pain similar to [** location **]us mi at 0300 on [**10-27**].", + "output": "The patient denies chest pain." + }, + { + "input": "Color improving with blow- by oxygen.", + "output": "The patient is worsening." + }, + { + "input": "Pd fluid sent for anaylsis but no obvious source.", + "output": "There is no fluid in the patients abdomen." + }, + { + "input": "The patient is followed on a regular basis at the brain tumor clinic.", + "output": "The patient has no brain mass." + }, + { + "input": "In addition, she notes increasing urinary frequency, pelvic pressure, and bilateral back pain.", + "output": "She has no urinary symptoms." + }, + { + "input": "Emt was called and found electrocardiogram abnormalities and was given aspirin and sublingual nitroglycerin with initial relief and then recurrence.", + "output": "Patient has normal ekg." + }, + { + "input": "Chronic renal insufficiency on dialysis.", + "output": "The patient normally functioning kidneys." + }, + { + "input": "He has been eating small meals and is currently on tpn.", + "output": "Patient has been eating normally." + }, + { + "input": "3) insulin dependent dm 4) htn 5) gerd 6) dysphagia 7) esophageal stricture s/p resection in [**2524**].", + "output": "Patient has negative pmh." + }, + { + "input": "This morning ([**5-3**]), after she woke up, her husband noticed that her gait was off (he cannot tell if she was veiring to the right or left).", + "output": "Her walking appeared normal." + }, + { + "input": "No melena, hematochezia at home.", + "output": "Patient has upper gi ulcerations." + }, + { + "input": "A level 2 ultrasound was performed by dr. [**first name8 (namepattern2) **] [**last name (namepattern1) 7881**] at [**hospital 70**] hospital.", + "output": "The patient received no imaging studies." + }, + { + "input": "She has had no upper endoscopy and no ent evaluation of her vocal cords.", + "output": "The patient has had an upper endoscopy." + }, + { + "input": "Cad s/p cabg [**12-5**](ef55% 12/07), hyperlipidemia, atrial fibrillation(coumadin), htn, iddm, anemia", + "output": "The patient has normal heart rhythm." + }, + { + "input": "Cardiac output on dobutamine was 2.88 and did not significantly change after the dobutamine was stopped.", + "output": "The patient has a normal cardiac output." + }, + { + "input": "In the ed initial vitals were, 97.8 145 143/92 16 100% (triggered to tachycardia).", + "output": "Patient has a fever." + }, + { + "input": "Labor progressed, leading to spontaneous vaginal delivery.", + "output": "The patient had a cesarean section." + }, + { + "input": "The patient also complained of some dizziness, however denied other symptoms including fever, chills, sweats, chest pain, diarrhea, constipation, nausea, vomiting, or urinary symptoms.", + "output": "Patient has no symptoms." + }, + { + "input": "Renal biopsy during that admission was c/w post-infectious gn.", + "output": "Renal biopsy was unremarkable." + }, + { + "input": "Rpr non reactive.", + "output": "The patient has neurosyphilis." + }, + { + "input": "Relevant maternal ob history in [**3430**] an iufd at 40 weeks, in [**3432**] a vaginal delivery at 38 weeks, with a healthy child.", + "output": "The mother had a c section." + }, + { + "input": "He was overbreathing the vent so he was paralyzed with vecuronium.", + "output": "The patient is breathing without support." + }, + { + "input": "In addition, on transfer, she had been started on lipitor, aspirin and imdur.", + "output": "The patient has a lower cholesterol level." + }, + { + "input": "These all occurr [**4-22**] minutes after eating.", + "output": "There is no relation to food timing." + }, + { + "input": "She vomited twice during this event and has had an elevated white blood cell count and temperature.", + "output": "The patient denies vomiting." + }, + { + "input": "The patient reported two admissions to outside hospitals since her discharge on [**9-27**] and weakness as well as gastrointestinal bleed.", + "output": "Patient has no history of gi bleed." + }, + { + "input": "No anginal symptoms.", + "output": "The patient has angina." + }, + { + "input": "Htn giant cell arteritis renal vascular disease ?dm ?cri", + "output": "The patient has no past medical history." + }, + { + "input": "(of note, per his home pharmacy, he only filled the prescription on [**2755-9-17**], but per the [**hospital1 251**] pharmacy, he filled the prescription both in [**2755-6-9**], as well as in [**2755-1-9**]. the patient cannot supply more history.) he also started terazosin [**6-12**].", + "output": "He takes no medications." + }, + { + "input": "Ekg with st depression in v1-v2, hct 19 from 26.4 yesterday.", + "output": "Patient has normal ekg." + }, + { + "input": "The intensive care unit course was also notable for negative chest x-ray, two units of packed red blood cells for a hematocrit of 24.0 with appropriate bump in her hematocrit and no evidence of bleeding, stable blood pressure despite a net fluid balance of negative 2.5 liters.", + "output": "Patient has a large pneumonia." + }, + { + "input": "Neurology felt he was severely inattentive, but had no focal deficits, c/w a toxic-metabolic derrangement rather than a stroke. .", + "output": "The patient's mental status is intact." + }, + { + "input": "On the day of presentation, the patient woke up around 6 am. she wa fine until about 8.30 am. at that time, she was dressing and fell to the left, unable to stand up.", + "output": "Patient has no neurological symptoms." + }, + { + "input": "Past medical history: bicuspid aortic valve.", + "output": "No cardiac abnormalities." + }, + { + "input": "Came to ed today because granddaughter called his cardiologist who recommended evaluation.", + "output": "The patient has no symptoms or complaints." + }, + { + "input": "All other ros negative in the ed, initial vitals were 98 65 195/140 18 98% ra.", + "output": "The patient is hypotensive." + }, + { + "input": "2. mitral valve prolapse 3. retinopathy", + "output": "Patient has normal vision." + }, + { + "input": "Accordingly, she was transferred for cardiac catheterization and echocardiogram, after which she was admitted to the [**hospital1 552**] service of [**hospital1 4**]. .", + "output": "Cardiac function is normal." + }, + { + "input": "Her central line was removed and a picc was placed prior to coming to the floor. .", + "output": "The patient has no venous access." + }, + { + "input": "Breast ca status post left mastectomy with graft implant [**3102-6-11**].", + "output": "The patient normal breasts." + }, + { + "input": "Ct scan revealed a type b aortic dissection and she was contact[**name (ni) **] at home and advised to come to the hospital for further work-up.", + "output": "Ct scan revealed no abnormalities in the aorta." + }, + { + "input": "Recent urinary tract infection approximately one month ago which was treated and resolved.", + "output": "Patient has no significant pmh." + }, + { + "input": "[**2802-5-13**] egd with grade 1 varices, portal gastropathy. - anemia - mild chronic renal failure cr 1.2 - copd - htn - history of b/l dvt", + "output": "The patient has normal pulmonary function." + }, + { + "input": "Laboratory data significant for sodium 150 (green top), creatinine 0.8, cbc within normal limits, serum/urine tox positive for alcohol (405) and opiates.", + "output": "The patient is sober." + }, + { + "input": "A transesophageal echocardiogram then was performed which was negative for endocarditis.", + "output": "Patient has an abnormal tee." + }, + { + "input": "Further investigation led to biopsy of small bowel and the diagnosis of t cell lymphoma was made.", + "output": "Patient has no cancer." + }, + { + "input": "His birth weight was 2,925 grams; birth length was 49.5 cm; head circumference 33.5 cm (all appropriate for gestational age, at about the 75th percentile.", + "output": "Patient has an abnormal head circumference size." + }, + { + "input": "Vitals prior to transfer afebrile, 90/48 7616 97%2:.", + "output": "Patient is hypertensive." + }, + { + "input": "We then turned our attention to the mid lad lesion.", + "output": "Patient has no cad." + }, + { + "input": "After a brief period in labor and delivery with family, the infant was brought to the nicu for further care.", + "output": "The infant went to the new born nursery after birth." + }, + { + "input": "He began breathing with rates in the 40s.", + "output": "The patient is breathing slower than normal." + }, + { + "input": "[**known patient lastname 36780**] is a 27-year-old male with no significant past medical history.", + "output": "The patient has chronic illnesses." + }, + { + "input": "Left anterior descending was a small vessel with severe diffuse proximal to midvessel disease up to 90% stenosis.", + "output": "Testing revealed no coronary artery stenosis." + }, + { + "input": "He presents to the hospital now for renal transplantation.", + "output": "He has normal renal function." + }, + { + "input": "She received fluid boluses totaling 5l.", + "output": "The patient\u2019s main complaint is hypertension." + }, + { + "input": "On arrival to the ed, his vs were t 97.4 hr 126 bp 123/72 rr 28 sats 88% on ra, and 98% on 2l.", + "output": "The patient has a normal heart rate." + }, + { + "input": "Substance use - 20 year heroin use history, maintained on methadone now.", + "output": "Patient denies history of substance abuse." + }, + { + "input": "Egd was subsequently performed and biopsy with 3-4 cm duodenal ulcer was noted.", + "output": "The biopsy was normal." + }, + { + "input": "Plan was for pt to transferred to [**hospital1 68**] for cardiac catheterization but given limited bed availability she was admitted to the ccu at [**hospital3 1758**] and was started on heparin gtt, nitro gtt, and given morphine prn for pain.", + "output": "Pt has normal cardiac function." + }, + { + "input": "Gram stain showing 3+ pnm's, no micro-organisms.", + "output": "There were no inflammatory cells on the gram stain." + }, + { + "input": "She finally agreed to admission and presented to the ed on the 12th with continued fevers and chills along with a two day history of nausea, vomiting, and diarrhea.", + "output": "The patient is asymptomatic." + }, + { + "input": "Pt was found with tv off, sitting with some dessert, with slurred speech and r facial droop and rue and rle lack of movement.", + "output": "The patient has normal strength on his right side." + }, + { + "input": "History: this is a 35-5/7-weeks gestation girl born vaginally to a 38-year-old g1, p0 now 1 mother.", + "output": "The patient is post term." + }, + { + "input": "Aspirin 81 mg p.o. q.d.", + "output": "Patient takes no medications." + }, + { + "input": "Status post excision of skin cancer on left shoulder.", + "output": "The patient has a normal dermatologic exam." + }, + { + "input": "Despite this she continued to have ongoing jaundice and biliary leak and she was transferred to this facility for further management.", + "output": "Patient has normal lfts." + }, + { + "input": "There was no maternal fever or fetal tachycardia.", + "output": "The patient has an elevated heart rate." + }, + { + "input": "The attacks included nervousness, shaking, diaphoresis, and mild to moderate dyspnea.", + "output": "The patient denies difficulty breathing." + }, + { + "input": "Mother is a 37 year old gravida 1, para 0 now 2 woman whose blood type is a negative, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative and group b streptococcus unknown.", + "output": "Patient is not pregnant." + }, + { + "input": "Insulin 7u iv given then 5 units/hr gtt started.", + "output": "The patient\u2019s blood sugar was normal." + }, + { + "input": "History of steroid psychosis.", + "output": "No history of corticosteroid use." + }, + { + "input": "She was apparently feeling better but in the past day began to feel \"the pressure getting better.\" she states that on the way to the pharmacy to refill her medications yesterday she got into a disagreement with her husband.", + "output": "The patient is not on any medications." + }, + { + "input": "The patient has a history of bacterial endocarditis in [**3118**], status post mitral valve replacement and debridement of perivalvular abscess.", + "output": "The patient has native heart valves." + }, + { + "input": "L leg lymphedema h/o dvts x 3 htn ho chol depression", + "output": "The patient has never had a blood clot." + }, + { + "input": "She also reports while in the ambulance she felt like she could not take a complete breath in.", + "output": "She denies shortness of breath." + }, + { + "input": "Patient was given 15 units of insulin.", + "output": "Blood sugars were within normal limits." + }, + { + "input": "Status post splenectomy at [**hospital1 277**] for unknown indication in [**3353**].", + "output": "The patient has a normal spleen." + }, + { + "input": "Temperature max was 101.2.", + "output": "The patient is afebrile." + }, + { + "input": "She received one dose of clindamycin for unknown gbs status.", + "output": "The patient has not received antibiotics." + }, + { + "input": "Pt was due for chemotherapy today, but did not undergo treatment due to anc<500 yesterday (wbc count 0.7).", + "output": "The patient has a normal neutrophil count." + }, + { + "input": "At [**hospital1 22**], she was found to have cholelithiasis and it was felt that she may need ercp for presumed gallstone pancreatitis.", + "output": "The patient has no gall stones." + }, + { + "input": "The patient was then switched to intravenous antibiotics and transferred to the micu.", + "output": "The patient does not have iv antibiotics." + }, + { + "input": "Apparently she got worse and went in to a coma and was then transferred to [**hospital3 448**] [**hospital3 **] with diagnosis of encephalitis apparently from a mosquito bite.", + "output": "She has no history of neurological dysfunction." + }, + { + "input": "She was successfuly extubated on [**4-12**] and is now ready for transfer to the floor.", + "output": "The patient has had a tracheotomy." + }, + { + "input": "Cardiac catheterization on day of admission revealed 80% proximal rca lesion, 90% lad lesion, and 90% distal left main.", + "output": "The patient has no cardiac disease." + }, + { + "input": "History: baby girl [**known patient lastname 4865**] was born at 31 and 6/7 weeks and admitted to the nicu with a diagnosis of prematurity and respiratory distress.", + "output": "The baby was born at term." + }, + { + "input": "Prenatal screens - o positive, antibody negative, hepatitis surface antigen negative, rubella immune, rpr nonreactive, gbs negative.", + "output": "The patient has syphilis." + }, + { + "input": "She was ejected 20' with +loc and gcs=13 at the scene.", + "output": "The patient is comatose." + }, + { + "input": "There were no lesions present at the time of delivery.", + "output": "Lesions were observable at delivery." + }, + { + "input": "[**10-6**] but d/c summary documents r facial cellulitis and impetigo.", + "output": "Patient has not received antibiotics." + }, + { + "input": "95% on nrb.", + "output": "Oxygen saturation is 100% on room air." + }, + { + "input": "After the second unit, the presumed source of bleeding was the ovarian cyst and with bleeding into her pelvic mass.", + "output": "The patient had a high hematocrit." + }, + { + "input": "[**name10 (nameis) **] lavage was negative with bilious return.", + "output": "Patient had no bilious return on lavage." + }, + { + "input": "The pt states that 2 days ago she started to experience dysuria and urgency.", + "output": "The patient has no symptoms of a uti." + }, + { + "input": "She has approximately two seizures per year.", + "output": "She has multiple seizures per week." + }, + { + "input": "Per nh records and family patient had developed cold-like symptoms [**2-23**] days ago.", + "output": "The patient has been healthy." + }, + { + "input": "During the procedure, the patient first underwent bilateral arm venograms, and svc stenosis was visualized.", + "output": "Patient has normal venograms." + }, + { + "input": "In addition he also notes drenching night sweats, 30lb weight loss over several months and decreased p.o. intake.", + "output": "The patient is gaining weight." + }, + { + "input": "He presented immediately to [**hospital3 803**] complaining of [**6-28**] chest pain.", + "output": "Patient has negative ros." + }, + { + "input": "Regarding her myasthenia [**last name (un) 5692**], she was recently discharged after a prolonged hospitalization.", + "output": "The patient does not have an autoimmune condition." + }, + { + "input": "In the ed, initial vitals were 100.1 114 124/56 18 98%.", + "output": "Patient has a normal heart rate." + }, + { + "input": "He is currently off all antibiotic therapy.", + "output": "The patient is on antibiotics." + }, + { + "input": "Lactate was 1.0 and arterial blood gas had a ph of 7.41, co2 of 42, oxygen of 62 lowering concern for an ischemic colitis or mesenteric ischemia.", + "output": "Patient has lactic acidosis." + }, + { + "input": "In the emergency room, he was noted to have a significant diastolic murmur.", + "output": "Patient has normal auscultation of the chest." + }, + { + "input": "The patient also completed the 14 day course of flagyl and azithromycin.", + "output": "The patient was not been taking any antibiotics." + }, + { + "input": "If not, they would want to proceed with dnr/dni route.", + "output": "The patient is healthy." + }, + { + "input": "He did develop a progressive hyperbilirubinemia which was found to be largely indirect and was thought to be likely hemolysis in the setting of receiving blood transfusions.", + "output": "Patient has normal bilirubin." + }, + { + "input": "In general, the patient was an elderly female lying in bed who was oriented to person and place.", + "output": "Patient is oriented to time." + }, + { + "input": "He had never experienced pain like this before.", + "output": "Patient has no symptoms." + }, + { + "input": "Head ct scan at the outside hospital shows right frontal intracranial bleed approximately 3 cm with area surrounding edema compared to the ct scan at 15:00 at the outside, it is unchanged.", + "output": "Head ct is normal." + }, + { + "input": "Patient subsequently continued to be tachycardic and he received 10 mg iv dilt x 3 with hr return to sr in 80s and hypertensive to sbp 190s.", + "output": "Cardiac function was normal." + }, + { + "input": "She was treated with iv protonix and was started an octreotide drip.", + "output": "The patient does not have an iv." + }, + { + "input": "She was treated with iv fluids to maintain her bp which held stable with sbps in the 80s.", + "output": "The patient is hypertensive." + }, + { + "input": "Two days prior to admission, he was raking leaves in his yard with his hands, and afterward he experienced continued shortness of breath at both rest and worsened with exertion, which persisted for two days. .", + "output": "He denies dyspnea." + }, + { + "input": "Pt reports a weight loss of ~ 8 lbs and he states that it has been a chore to do his daily activities.", + "output": "Patient has weight gain." + }, + { + "input": "History of present illness: baby girl [**known patient lastname 20459**] is the former 4.035 kg product of a 39 and [**2-20**] week gestation pregnancy, born to a 33 year-old, g4, p1 now 2 woman.", + "output": "The patient has low birth weight." + }, + { + "input": "Most recently, wbc persistently elevated at 16.6 with 6% bands.", + "output": "Cbc has been normal." + }, + { + "input": "- picc-associated right upper extremity dvt, diagnosed on [**3430-8-29**] and had picc removal. - prior gram positive bacteremia - hypertension - hyperlipidemia - s/p oophorectomy - bilateral lower lobe pes ([**12-11**]) - left lower extremity dvt ([**12-11**]) - recent pelvic dvt", + "output": "The patient has no history of blood clot." + }, + { + "input": "Both cultures ended up being negative to date.", + "output": "The patient has sepsis." + }, + { + "input": "The mother's pregnancy was complicated by cervical shortening and preterm labor starting at 23 weeks gestation.", + "output": "The patient is full term." + }, + { + "input": "He endorsed constipation, with no stool x 3 days.", + "output": "The patient has diarrhea." + }, + { + "input": "Reports increased secretions over time (c/w prior clinic notes ~ 1 mo ago) and reports improvement of his sob post-suctioning.", + "output": "The patient has non-dilated small bowel." + }, + { + "input": "Of note the patient was recently admitted to [**hospital1 18**] with flank pain.", + "output": "The patient is asymptomatic." + }, + { + "input": "History of present illness: this is a 61-year-old male with a past medical history significant for right upper lobe small cell cancer stage iii, status post chemotherapy and radiation, status post right upper lobe sleeve resection [**6-14**], also with past medical history significant for diabetes mellitus, hypertension, prostate cancer status post radical prostatectomy, gerd, tia 15 years ago, gout and copd.", + "output": "The patient has no significant past medical history." + }, + { + "input": "Regarding the patient's complaint of hematuria, the patient had developed this problem immediately prior to his discharge in [**month (only) 89**].", + "output": "Patient has normal urinalysis." + }, + { + "input": "End stage renal disease, initial hemodialysis started in [**2850-12-3**], and resumed in [**2856-12-2**] following chronic rejection of renal transplant placed in [**2852**].", + "output": "Patient has normal kidney function." + }, + { + "input": "She received cefepime, vancomycin and levofloxacin.", + "output": "The patient has not had any iv antibiotics." + }, + { + "input": "He did ok at rehab and was actually switched from linezolid to suppressive doxycycline (for the scn/gamma strep graft infection) on [**3-23**]. .", + "output": "Patient is not on antibiotics." + }, + { + "input": "The patient was diagnosed with proteus urinary tract infection on [**2757-5-20**].", + "output": "The patient has normal urine." + }, + { + "input": "He had upper and lower endoscopies [**3067-8-27**] that showed esophageal, gastric and rectal varices, but no active bleeding.", + "output": "Endoscopies were normal." + }, + { + "input": "Brief history: 55 yr old male with no prior cardiac history presented following a witnessed cardiac arrest while running a road race.", + "output": "The patient has known cardiac disease." + }, + { + "input": "She is controlled on insulin.", + "output": "The patient is not diabetic." + }, + { + "input": "She also reports left hip pain which developed over the same time period for which she was seen by her pcp earlier this past week and was diagnosed with probable bursitis.", + "output": "She denies pain in the lower extremity." + }, + { + "input": "Bystanders commenced cardiopulmonary resuscitation and emergency medical technicians placed an aad and shocked her at 200 joules, which converted her to a normal rhythm.", + "output": "The patient was in pea arrest." + }, + { + "input": "His blood pressure remained in the low 100s systolically, but later he required dopamine.", + "output": "The patient is normotensive." + }, + { + "input": "The patient denies any recent chest discomfort, chest pain or dyspnea on exertion.", + "output": "The patient is having active chest pain." + }, + { + "input": "She was transferred to the micu for closer observation and consideration of noninvasive ventilation.", + "output": "The patient requires a low level of care." + }, + { + "input": "Based on the above results, he was referred for cardiac surgical intervention.", + "output": "His cardiac workup was normal." + }, + { + "input": "Postoperative course from that, the patient had a fever to 102.6.", + "output": "Patient has normal vital signs." + }, + { + "input": "Heme/onc consulted and recommended giving ivig at 400 mg/kg and gcsf at 300 mg sc qd.", + "output": "The patient has no circulating autoantibodies." + }, + { + "input": "She relates that sunday night, she awoke from sleep feeling more short of breath.", + "output": "The patient has normal breathing." + }, + { + "input": "Per his wife, he has had no chest pain, dyspnea, abd pain, melena, or hematochezia. .", + "output": "The patient is having bright red blood per rectum." + }, + { + "input": "82-year-old female with history of cad s/p mi in [**3043**], angina, history of stent to lad in [**3066**], htn, hl, pvd, aaa s/p repair, cea, ckd (cr 2.5), severe pulmonary hypertension, hit, history of pe, oxygen-dependent copd presents in setting of increasing dyspnea and chest discomfort to ccu for aspirin desensitization in setting of history of aspirin sensitive asthma and pre-cath hydration.", + "output": "The patient has a normal heart." + }, + { + "input": "He was normotonsive during the procedure and received 2l lr.", + "output": "His blood pressure was low during the procedure." + }, + { + "input": "History: baby girl [**known patient lastname **] is the 2.025 kg infant born via c- section for failure to progress at 34-3/7 weeks gestation with an estimated date of confinement of [**3189-8-6**].", + "output": "Patient was born via vaginal delivery." + }, + { + "input": "Approximately one year ago, he required hospitalization for an acute episode of congestive heart failure secondary to community-acquired pneumonia.", + "output": "The patient has no cardiac history." + }, + { + "input": "Diabetes likely secondary to steroids.", + "output": "No history of steroid use." + }, + { + "input": "There he was felt to be at his baseline from a pulmonary standpoint but there was concern for acute renal failure with a creatinine above baseline and so he was treated with ivf for presumed over diuresis with lasix.", + "output": "Patient has acute pulmonary failure." + }, + { + "input": "Maternal medical history: significant for leukemia in [**3331**] and status post chemotherapy.", + "output": "The patient does not have a family history of cancer." + }, + { + "input": "Patient repots that she was feeling \"fine\" prior to hospitilization.", + "output": "The patient was ill prior to presentation." + }, + { + "input": ".....e.svt, avnrt (s/p ablation x2) .....f.overflow incontinence (h/o self catheterization in past) 2.", + "output": "Patient has normal sinus rhythm." + }, + { + "input": "On [**3172-4-30**] the patient experienced syncope.", + "output": "The patient denies syncope." + }, + { + "input": "Very poor po intake.", + "output": "Patient has normal hydration status." + }, + { + "input": "Obesity hypoventilation syndrome.", + "output": "The patient is normal weight." + }, + { + "input": "Past medical history: parkinson's dementia, depression, anxiety, coronary artery disease status post myocardial infarction in [**2806**], squamous cell carcinoma of the vocal cords status post excision and xrt, hypertension, spinal stenosis, bph status post turp.", + "output": "Patient has no history of radiation." + }, + { + "input": "Pt given vanc, levo, flagyl in ed.", + "output": "There is no concern for infection." + }, + { + "input": "53 yo male with ? palpitations, followed for murmur since age 18.", + "output": "The patient has a normal heart." + }, + { + "input": "She was started on ampicillin and gentamycin prior to transfer to [**hospital3 **].", + "output": "Patient has no infection." + }, + { + "input": "Cad s/p cabg [**3136**] (lima to lad, svg to rca, svg to lcx) ischemic cm and chf, lvef 35% history of pe on coumadin ppm placed [**3136**], c/b infection, with replacement [**3138**] or [**3148**] moderate to severe tr chronic afib copd gerd gout", + "output": "The patient has a normal heart." + }, + { + "input": "Patient was just recently discharged from [**hospital1 509**] at the pneumonia and pleural effusion as well as mental status changes.", + "output": "Patient has normal labs." + }, + { + "input": "History of present illness: this is a 48 year old man who anorexia and decreased urine output.", + "output": "He has been eating normally." + }, + { + "input": "She had presented to the primary care physician 1-2 weeks ago with complaint of chronic leg pain that has not resolved with medical treatment and fatigue for the last few years.", + "output": "The patients pain is acute." + }, + { + "input": "The patient did not require tracheostomy or intubation and over the course of the day, the patient returned to baseline mental status and was hemodynamically stable with mannitol and decadron.", + "output": "The patient is hemodynamicall unstable." + }, + { + "input": "Cholecystitis and choledocholithiasis complicated by bile duct perforation in '[**89**].", + "output": "Patient has a normal gall bladder." + }, + { + "input": "Of note, review of notes and history shows that the patient had been having severe abdominal pain, but he does not relate that history. .", + "output": "The patient currently complains of severe abdominal pain." + }, + { + "input": "History of present illness: this is an 81-year-old right- handed man, with a history of dementia, paroxysmal atrial fibrillation, bradycardia status post pacer, and hypercholesterolemia, who was found by his wife this morning on the floor.", + "output": "Patient is left handed." + }, + { + "input": "Fluid, electrolytes and nutrition: [**known patient lastname 1033**] had an initial whole blood glucose of 22.", + "output": "Patient is hyperglycemic." + }, + { + "input": "A.fib/svt, s/p ablation [**71**].", + "output": "The patient has no histry of arrhythmia." + }, + { + "input": "Labs at [**hospital1 **] with wbc 5.8, hct 33.6 (mcv 83.6), plts 278, and ck 215.", + "output": "Labs reveal thrombocytopenia." + }, + { + "input": "Copd on 2l home oxygen.", + "output": "Patient has normal oxygen saturations." + }, + { + "input": "Was transiently on cpap but quickly weaned to fm, now weaned to nc 5l.", + "output": "The patient is breathing normal on room air." + }, + { + "input": "The patient has required large doses of narcotics to be comfortable (i.e. 50 mg of dilaudid intravenously over three hours).", + "output": "The patient has not received pain medication." + }, + { + "input": "History of present illness: this is an 84 year old with symptomatic critical aortic stenosis.", + "output": "She has normal cardiac function." + }, + { + "input": "Bp ranging from sys 60-100s.", + "output": "The patient is having a hypertensive crisis." + }, + { + "input": "Cxr showed bibasilar opacities, likely atelectasis.", + "output": "The patient has a normal chest x ray." + }, + { + "input": "Prostate adenoma resection.", + "output": "No surgical history on the prostate." + }, + { + "input": "Cellulitis of both legs.", + "output": "The patient has normal skin." + }, + { + "input": "Infant was delivered by cesarean section.", + "output": "Infant was delivered vaginally." + }, + { + "input": "Cpap was initiated and patient's mental status had mild improvement in alertness.", + "output": "Patient remained obtunded." + }, + { + "input": "He had hematemesis and was found to have an hct of 16, an inr of 3.3 (on coumadin) and arf.", + "output": "Patient has normal pt/inr." + }, + { + "input": "Hypertension was diagnosed prior to [**3387**], and is well controlled.", + "output": "The patient\u2019s high blood pressure is uncontrolled." + }, + { + "input": "Patient was transferred to the [**hospital1 170**] for further care and management of his possible hemothorax, worsening congestive heart failure and possible nonunion of his sternum.", + "output": "Patient has a normal heart." + }, + { + "input": "Catheterization in [**2698**] showed an increase filling pressure, inferior hypokinesis, 30% osteal lma and 80% obtuse marginal occlusion.", + "output": "The patient has a normal heart." + }, + { + "input": "Wheezes at the time were noted which decreased with combivent nebulizer treatment in the emergency room.", + "output": "The patient is having no breathing trouble." + }, + { + "input": "This was pet positive, with no evidence for distant metastatic disease.", + "output": "The patient has no history of cancer." + }, + { + "input": "Cxr without infiltrates.", + "output": "The chest x ray shows a focal consolidation." + }, + { + "input": "On arrival to the coronary care unit he was hemodynamically stable, in atrial fibrillation.", + "output": "Patient has normal sinus rhythm." + }, + { + "input": "Hct was 18.5 and cr 1.8.", + "output": "Patient is polycythemic." + }, + { + "input": "The infant was born by cesarean section.", + "output": "The infant was born vaginally." + }, + { + "input": "Cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope.", + "output": "The patient has shortness of breath when lying down." + }, + { + "input": "Pt. is being admitted for ivig infusion and possibly platelets as needed.", + "output": "Patient has normal blood counts." + }, + { + "input": "While the patient does admit to occasionally feeling cold, she denies any chills or fevers.", + "output": "The patient has fevers and chills." + }, + { + "input": "He was also found to be withdrawing from etoh (tachycardic, hypertensive, hyperthermic and tremulous).", + "output": "The patient has overly sensitive benzodiazepine receptors." + }, + { + "input": "Prenatal screens: blood type a positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown.", + "output": "The patient will require rhogam." + }, + { + "input": "She was felt to be in chf.", + "output": "She has normal cardiac function." + }, + { + "input": "Vascular surgery was called.", + "output": "The patient and had no symptoms and was discharged home." + }, + { + "input": "Patient was ambulating at level three with assistance and discharge medications includes lopressor 12.5 mg p.o.", + "output": "The patient was unable to walk with help." + }, + { + "input": "He also has critical aortic stenosis with [**first name8 (namepattern2) **] [**location (un) 108**] of 0.6 centimeter squared in [**2526**].", + "output": "Patient has normal aortic valve." + }, + { + "input": "His abg at the osh was 7.13/90/559 on 100%fio2, ac 500/12.", + "output": "The patient has a normal arterial blood gas." + }, + { + "input": "History: pneumonia, status post extubation, to evaluate for change.", + "output": "The patient has clear lungs." + }, + { + "input": "She was betamethasone complete on [**2-14**].", + "output": "The patient has no history of corticosteroid use." + }, + { + "input": "He was found to have a hct of 23.2.", + "output": "The patient has polycythemia." + }, + { + "input": "Apgars were 8 and 9 at one and five minutes of age respectively.", + "output": "The patient was not breathing at birth." + }, + { + "input": "Elevated tnt with normal catherization in setting of copd flare 5.", + "output": "Testing and blood tests were normal." + }, + { + "input": "Bp increased after initiation of second iv with ns bolus and came up to 130s systolic after ~700 cc.", + "output": "Patient blood pressure did not change after fluids." + }, + { + "input": "Patient was confused at hd and did not improve with com[** location **]n of hd session.", + "output": "The patient is at baseline mental status." + }, + { + "input": "Then, on [**3451-2-7**], the patient experienced facial swelling, and she was brought to the [**hospital1 22**] out of concern for her recent fall and facial swelling.", + "output": "Patient has no history of trauma." + }, + { + "input": "Left ica aneurysm htn hypercholesterolemia osteoporois gastritis", + "output": "No medical conditions." + }, + { + "input": "He called dr. [**name (ni) 1365**] office and was referred to the [**hospital1 22**] ed for further evaluation.", + "output": "He has no symptoms." + }, + { + "input": "Treated with azithromycin in [**month (only) 570**] for his cough without improvement.", + "output": "Patient has normal cxr." + }, + { + "input": "Followed closely by ultrasounds with normal growth.", + "output": "Ultrasounds revealed intrauterine growth restriction." + }, + { + "input": "Antepartum antibacterial prophylaxis was administered begriming 2-1/2 hours prior to delivery.", + "output": "The mother received no antibiotics." + }, + { + "input": "Beyond son's report of generally feeling unwell this week with increased confusion, specific localizing sx of infection are unknown.", + "output": "Patient has normal mmse." + }, + { + "input": "Her cardiac issues were handled medically and endoscopy revealed a distal gastric mass.", + "output": "No history of cardiac symptoms." + }, + { + "input": "Inr 2.1, hct 33.7 initially (baseline 33-35).", + "output": "The patient has normal coags." + }, + { + "input": "No evidence of coronary artery disease (normal mibi [**9-17**]), psychotic depression status post ect and glaucoma.", + "output": "Patient has no depression." + }, + { + "input": "Patient was hospitalized at [**hospital1 4**] from [**3-30**] - [**4-8**] for a planned coronay catheterization and underwent stenting w/ des of her left main (known distal 70% stenosis) and lad (mid 80% in-stent restenosis (isr) and a distal 50% stenosis).", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Patient is expressing difficulty breathing due to right-sided pain along his ribs.", + "output": "The patient is breathing normally." + }, + { + "input": "Has multiple uris, allergies, recent azithro < 2 weeks ago, prednisone < 1 month ago.", + "output": "Patient has no trouble breathing." + }, + { + "input": "Apparently hospitalized at [**hospital1 **] in [**4-10**] at which pt was intubated for ?chf/aspiration pneumonia.", + "output": "The patient has no history of recent illness." + }, + { + "input": "Right iliac artery stenosis, status post bypass in [**3019**].", + "output": "Normal arteries in the lower extremities." + }, + { + "input": "Congestive heart failure with an ejection fraction of less than 15% by echocardiogram in [**3408-2-12**].", + "output": "Patient has a normal ef." + }, + { + "input": "He received resuscitation with [**3165**] cc of normal saline and one unit of packed red blood cells.", + "output": "Patient has normal lab values." + }, + { + "input": "History of present illness: this is a 63 year old male with a history of hypertension and colon cancer status post hemicolectomy who is status post a nine foot fall from the cab of his truck on [**3084-11-6**].", + "output": "He has no history of colon cancer." + }, + { + "input": "Sepsis protocol was initiated and pt received vanc, levo, and flagyl without a clear infectious sourse.", + "output": "The patient had an abdominal infection." + }, + { + "input": "Coronary artery disease with an angioplasty in the [**3034**]'s echocardiography [**12/3064**]: mild lvh, mild focal left ventricular systolic dysfunction, lvef = 55% c/w prior inferior infarction. type 2 diabetes on oral agents, hypertension hypercholesterolemia.", + "output": "The patient has a normal heart." + }, + { + "input": "She was started on gleevec on [**3374-4-20**] by dr. [**last name (stitle) **].", + "output": "She denied chemotherapy treatment." + }, + { + "input": "Cad s/p mi, cabg [**3217**] with occluded grafts, s/p pci with several stents.", + "output": "No history of heart disease." + }, + { + "input": "Ct right hip showed 7cm hematoma extending from iliac [**doctor first name **] to level of right hip capsule without evidence of hemarthrosis.", + "output": "Patient has blood in the joint." + }, + { + "input": "61 yo m with s/p avr x 2 (last in [**2701**]) with recent echo showing increased gradient and thickened/defromed leaflets.", + "output": "The patient has normal heart valves." + }, + { + "input": "Cardiac cath demonstrated proximal rca to.", + "output": "Cardiac function normal." + }, + { + "input": "Ems was contact[**name (ni) **] and she was brought to [**hospital1 52**].", + "output": "The patient was brought to the hospital by private vehicle." + }, + { + "input": "Ekg revealed sinus tachycardia w/poor r-wave progression and twi in v4-v6.", + "output": "Ekg was normal." + }, + { + "input": "Ct scan of the abdomen showed small bowel obstruction secondary to diffuse abdominal metastases and the patient underwent exploratory laparotomy with small bowel resection on [**9-18**].", + "output": "The patient has no history of cancer." + }, + { + "input": "Brought to ccu with swan in place.", + "output": "The patient does not have any intravenous catheters." + }, + { + "input": "Ed vs: t 101, bp 50/30, hr 130s, sating well on 2l nc.", + "output": "The patient is normotensive." + }, + { + "input": "Mom admitted at 22-1/7 weeks and placed on bed rest, placed on tocolysis for preterm labor.", + "output": "Patient has a noncomplicated pregnancy." + }, + { + "input": "He underwent a cardiac catheterization that showed one vessel coronary artery disease.", + "output": "He has normal coronary arteries." + }, + { + "input": "Noninsulin dependent diabetes mellitus; 4.", + "output": "No metabolic disease." + }, + { + "input": "Of note, she recently started hydrochlorothiazide 25 mg qhs three days ago.", + "output": "She did not take any diuretics." + }, + { + "input": "Radiation cystitis 3.", + "output": "No history of radiation therapy to the pelvis." + }, + { + "input": "Given that he had received 3 x it chemo and 3 cycles of high-dose ara-c, it was felt to be sufficient for cns prophylaxis.", + "output": "Patient has no evidence of malignancy." + }, + { + "input": "On admission to ed triggered for respiratory extremis.", + "output": "Normal respiratory function." + }, + { + "input": "74 f c hx poorly controlled hypertension, hyperlipidemia, renal cell cancer s/p l nephrectomy, breast cancer s/p l mastectomy/ tamoxifen presenting c chest pain.", + "output": "The patient has no history of cancer." + }, + { + "input": "Coronary artery disease status post coronary artery bypass graft.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "In addition, reported non-reassuring fetal heart tracing.", + "output": "The fetal heart tracing was normal." + }, + { + "input": "Denies any urinary symptoms (no changes in color, consistency, dysuria, frequency, urgency), abd pain, neck stiffness, cough or cold symptoms.", + "output": "Patient has cough." + }, + { + "input": "He was received pentostatin, rituxan and photopheresis for his gvhd which has affected his mouth, eyes, gut, skin, +/- bladder.", + "output": "The patient has a fully functioning immune system." + }, + { + "input": "Creatinine slowly recovered to 3.2.", + "output": "Creatinine continued to rise." + }, + { + "input": "Of note, patient was taking oral vancomycin for c. difficile until approximately one week prior to admission [**3301-5-2**].", + "output": "Patient has no history of gastrointestinal infection." + }, + { + "input": "Since then she has been a little more fatigued, less active.", + "output": "Patient has no recent illness." + }, + { + "input": "No complaints of headache or weakness, malaise or speech difficulties and no dysphagia.", + "output": "The patient is complaining of a headache." + }, + { + "input": "History of present illness: this is a 65-year-old woman with a history of mitral stenosis, recent increasing dyspnea on exertion, as well as paroxysmal nocturnal dyspnea.", + "output": "The patient has has a normal heart." + }, + { + "input": "She transitioned to conventional ventilation on [**2978-4-27**] prior to return to [**hospital1 22**] nicu.", + "output": "The patient is breathing on room air." + }, + { + "input": "Currently, she is intubated and sedated w/ dried blood on her face, but no frank blood on ett suctioning", + "output": "Respiratory function is normal." + }, + { + "input": "Diabetes mellitus which was controlled by diet on a daily basis.", + "output": "No history of hyperglycemia." + }, + { + "input": "This revealed multiple new, predominantly peripheral irregular nodular opacities in both lungs, and a new area of gound-glass opacity peripherally in the superior segment of the rll. [** location **]usly seen nodules in the lul, rul and rll were either unchanged or decreased in size.", + "output": "Imaging of the lungs was unremarkable." + }, + { + "input": "This triplet emerged with spontaneous cry, required blow by oxygen, apgars were 8 at one minute and 9 at five minutes.", + "output": "The patient was born at term." + }, + { + "input": "History: [** location **]us pneumothorax, to evaluate for persistence.", + "output": "The patient does not have a pneumothorax." + }, + { + "input": "Was found by his friend yesterday who called the ambulance and brought him in. .", + "output": "He was in good health yesterday and required no immediate medical attention." + }, + { + "input": "Cardizem cd 240 once daily.", + "output": "The patient is on no medications." + }, + { + "input": "Hypertension times five years.", + "output": "The patient is not increased risk for a stroke." + }, + { + "input": "The patient was therefore felt to be a good candidate for stent graft placement to cover the penetrating ulcer.", + "output": "The patient has no vascular problems." + }, + { + "input": "A - fib", + "output": "Patient has normal heart rhythm." + }, + { + "input": "Patient was started on vancomycin 1 gram iv x 1, ciprofloxacin 400 mg iv x 1.", + "output": "The patient has no signs of infection." + }, + { + "input": "History of present illness: this 26-year-old male with no significant past medical history with the exception of a pneumonia three months prior to arrival found to be a pneumococcal pneumonia, who presented with fever, cough, sore throat to [**hospital3 2425**] on [**2905-9-27**].", + "output": "No history of bacterial pneumonia." + }, + { + "input": "He then had a head ct, which revealed lesions read as subacute to acute infarcts of the right cerebellar hemisphere and the right occipital lobe.", + "output": "The patient had a normal head ct." + }, + { + "input": "On physical examination, the patient was in no acute distress, awake, alert and oriented x 3.", + "output": "The patient is comatose." + }, + { + "input": "History of present illness: the patient is a 69 year old female with a history of coronary artery disease, end stage renal disease on hemodialysis and congestive heart failure, who presented from home to the emergency department and was unresponsive.", + "output": "Patient has normal gfr." + }, + { + "input": "She underwent a rigid bronch, balloon dilation, microdebridement and stent placement on [**2609-7-26**].", + "output": "She had no recent surgical procedures." + }, + { + "input": "He was given levo/flagyl because he \"looked bad\" and was hypothermic to 33 degrees celsius rectally, in order cover possible infectious sources in the abdomen although his examination and other vital signs were benign.", + "output": "The patient is tachycardic." + }, + { + "input": "The patient was then transferred to the ccu in stable condition for further monitoring.", + "output": "Patient has no symptoms." + }, + { + "input": "History: [**known patient lastname **] is the former 5.060 kg product of a 39 week gestation born to a 31 year old a+, remaining prenatal screens noncontributory, gravida 4, para 2, now 3 female whose pregnancy was complicated by diet-controlled gestational diabetes.", + "output": "Pregnancy was uncomplicated." + }, + { + "input": "History of present illness: the patient is a 68-year-old male without any prior pulmonary history except for asthma, aspirin sensitivity, and nasal polyps who was transferred from an outside hospital to the medical intensive care unit multilobar infiltrates, congestive heart failure, and questionable atypical pneumonia.", + "output": "Chest x-ray is normal." + }, + { + "input": "A stat ct head showed l-mca sign. .", + "output": "The patient has a normal head ct." + }, + { + "input": "Exam was notable for coarse rales on the l, green sputum around the trach site, and accessory muscle use.", + "output": "Patient has no trouble breathing." + }, + { + "input": "He had 3rd stent placed in distal lad.", + "output": "Patient has normal coronary arteries." + }, + { + "input": "Then on the morning of admission, he notes increased sob and dyspnea.", + "output": "The patient denies shortness of breath." + }, + { + "input": "History of present illness: this is a 60 year old right handed woman with a past medical history of coronary artery disease, hypertension, history of aneurysm clip seven years ago at [**hospital6 59**], who at 4:00 p.m. on the day of admission had sudden onset vertigo, right facial weakness, and dysarthria.", + "output": "Patient has normal physical exam." + }, + { + "input": "Initial ekg asystole.", + "output": "The patient has a normal ekg." + }, + { + "input": "He developed palpitations that was similar to what he had during his recent hospitalization.", + "output": "The patient is not having symptoms of a cardiac arrhythmia." + }, + { + "input": "Frequent diabetic ketoacidosis admissions.", + "output": "The patient does not have diabetes." + }, + { + "input": "History of esophageal carcinoma, status post resection in [**2935**].", + "output": "The patient has no history of malignancy." + }, + { + "input": "Pna 05 16.", + "output": "Patient does not have pneumonia." + }, + { + "input": "History: abdominal pain and upper gi bleed, to evaluate lung parenchyma.", + "output": "The patient has not had a gastrointestinal bleed." + }, + { + "input": "Of note, had episode of unheralded syncope on monday; no aura or neurologic, cardiac prodrome; did not remember falling to ground, woke up on ground later after undetermined period, no bowel/bladder incontinence, post-ictal confusion, tongue biting.", + "output": "Patient has normal brain mri." + }, + { + "input": "Her hematocrit on discharge was 41. .", + "output": "Patient has a low hematocrit." + }, + { + "input": "No fetal tachycardia was noted.", + "output": "The patient had an elevated heart rate." + }, + { + "input": "No neck pain or trauma in recent past.", + "output": "History of cervical fracture due to motor vehicle accident." + }, + { + "input": "She is now confined to bed and will only occasionally communicate.", + "output": "She is ambulatory." + }, + { + "input": "Hiv: this was diagnosed in [**2766**].", + "output": "The patient has no viral illness." + }, + { + "input": "Gynhx: one prior missed abortion requiring a d&c and a therapeutic abortion.", + "output": "She has never been pregnant." + }, + { + "input": "This occurred while at rest 1-2 minutes after moving his bowels.", + "output": "The patient is obstipated." + }, + { + "input": "Bph s/p turp in [**2763**] 6.", + "output": "No history of any treatment for enlarged prostate." + }, + { + "input": "The patient's right foot ulcer has progressed since the time of discharge.", + "output": "Wound on right foot has healed." + }, + { + "input": "She had no loss of consciousness.", + "output": "She was unresponsive." + }, + { + "input": "He felt this was related to the keflex which he subsequently stopped.", + "output": "The patient had completed the course of keflex." + }, + { + "input": "She was diuresed without improvement in her symptoms.", + "output": "The patient\u2019s main problem is dehydration." + }, + { + "input": "He was admitted [**date range (1) 22653**]/[**3216**] for this abdominal pain and underwent a workup including abdominal ct, mri, mra, mrcp, egd, and eus with fna of a pancreatic lesion in the body.", + "output": "He denies abdominal pain." + }, + { + "input": "Her nih stroke scale was 17.", + "output": "Stroke scale score reveals no stroke symptoms." + }, + { + "input": "Apgars were 8 and 8 at one and five minutes respectively.", + "output": "The infant was in critical condition." + }, + { + "input": "71 yo woman pmh of t2 diabetes , htn , cva c r sided hemiparesis, mvr [**2537**] and afib.", + "output": "The patient has no history of hyperglycemia." + }, + { + "input": "For example, she was evaluated at the [**hospital1 577**] ed on [**2-27**] with seizures.", + "output": "The patient has never received medical care before." + }, + { + "input": "Chf aaa pacemaker/icd mi [**3269**], [**3272**]: rca stent knee replacements tia broken neck, not repaired", + "output": "No history of cardiac disease." + }, + { + "input": "Patient is a 74 male with myasthenia [**last name (un) 2843**] who was found down and unresponsive at the bottom of his basement stairs by his wife.", + "output": "The patient has normal mental status." + }, + { + "input": "His pain recurred on the afternoon of admission while patient was accompanying his wife to his wife's cardiologist appointment with dr. [**last name (stitle) 6992**].", + "output": "The patient denies pain." + }, + { + "input": "Reportedly, he was diagnosed with aspiration pneumonia at the nursing home several days ago, as well as with a staph uti.", + "output": "He has no history of urinary tract infection." + }, + { + "input": "[**location (un) 3576**] coma scale was 15.", + "output": "The patient is obtunded." + }, + { + "input": "On transport he was bradycardic to the 40s but this resolved spontaneously. .", + "output": "The patient has been tachycardic." + }, + { + "input": "No maternal fever.", + "output": "Mother is febrile." + }, + { + "input": "No maternal fever.", + "output": "There is maternal fever." + }, + { + "input": "The patient was taken to [**hospital1 68**] by taxi, with assistance.", + "output": "The patient was brought in by ambulance." + }, + { + "input": "Was talking on the phone with friend at around 0900 (friend reports 0900, ems reported 0845) and sounded at baseline.", + "output": "The patient was functioning below their baseline at 0900." + }, + { + "input": "Atrial fibrillation since [**2859-8-2**]; 3.", + "output": "No history of irregular cardiac rhythm." + }, + { + "input": "Af on coumadin 2.", + "output": "Patient has nsr." + }, + { + "input": "Hypertension 11. dyslipidemia", + "output": "Patient requires no medications." + }, + { + "input": "Recent past medical history is notable for a 5-day hospitalization for pneumonia. .", + "output": "Patient has no significant pmh." + }, + { + "input": "Cardiac review of systems is notable for absence of chest pain, palpitations.", + "output": "Patient has angina." + }, + { + "input": "Pt noted to have purulent d/c from line site.", + "output": "The patient has no signs of infection." + }, + { + "input": "Patient has never been dialyzed, but preparations to start have been ongoing in the past month.", + "output": "The patient has a normal creatinine." + }, + { + "input": "He acquired the tylenol from his family's medicine cabinet in the house's bathroom.", + "output": "The patient did not take tylenol." + }, + { + "input": "Ems recorded sbp of 80.", + "output": "The patient is hypertensive." + }, + { + "input": "At present, the pt reports he is comfortable but thirsty.", + "output": "The patient is in pain." + }, + { + "input": "He was transferred to the intensive care unit and sedated with versed and propofol overnight while he was medically evaluated.", + "output": "The patient is not sedated." + }, + { + "input": "Initially his vs were bp 133/78, h 84 and evolved to 90-100s systolic and hr of 100-120s.", + "output": "The patient is hypertensive." + }, + { + "input": "6) h/o sinusitis/seasonal allergies per family.", + "output": "No known allergies." + }, + { + "input": "The patient had blood tests done and then went home.", + "output": "Blood was not drawn." + }, + { + "input": "He is teacher at a local public school.", + "output": "He is unemployed." + }, + { + "input": "[**last name (stitle) 26563**] at [**hospital **] medical associates in [**location (un) 1221**], ma - s/p r nephectomy in [**2647**] [**2-26**] renal mass, htn, dyslipidemia", + "output": "The patient has both native kidneys." + }, + { + "input": "In addition he was prescribed hctz 12.5mg daily but had not been taking this.", + "output": "The patient has not been prescribed medication." + }, + { + "input": "Neurology consulted and recommended ativan with the possibility that she may have been seizing.", + "output": "Patient has not been evaluated." + }, + { + "input": "Mixed personality disorder with narcissistic and oppositional traits 12.", + "output": "The patient has no psychiatric issues." + }, + { + "input": "Ng lavage was initially negative.", + "output": "Nasogastric lavage revealed blood." + }, + { + "input": "She was then apparently treated with cefpodoxime and the last day was [**4-18**].", + "output": "Patient has negative ros and physical exam." + }, + { + "input": "Htn s/p right hip fracture and repair", + "output": "The patient has never had surgery." + }, + { + "input": "It was unclear whether her respiratory distress was from infection (aspiration, pnuemonia) or from worsening of her primary interstial lung disease.", + "output": "The patient has a normal chest ct." + }, + { + "input": "He also had some diarrhea in the last week prior to admission with multiple episodes of watery bowel movements likely secondary to lactulose that the patient takes for constipation.", + "output": "Patient is constipated." + }, + { + "input": "She was readmitted and had a complete febrile work-up that included ct abdomene/pelvis, chest x-ray, blood culture's, urine cultures, all of which were unremarkable.", + "output": "Her workup indicated sepsis." + }, + { + "input": "She was brought by emergency medical service who had intubated her in the field.", + "output": "Patient has normal o2 sats on room air." + }, + { + "input": "Ekg found to have st depressions/twi in inferior & anterolateral leads -> question of nstemi.", + "output": "Patient has normal ekg." + }, + { + "input": "History of multiple lacunar infarcts since [**2548**].", + "output": "The patient has a normal brain mri." + }, + { + "input": "In the ed vs 97.7 77 147/96 16 98% ra.", + "output": "Patient has normal blood pressure." + }, + { + "input": "Egd was repeated with no new bleeding sources and he was bronchoscoped secondary to blood removed from et tube.", + "output": "Patient has active upper gi bleeding." + }, + { + "input": "He was readmitted to osh on [**5-26**], and was sent to the icu for a hct of 19.", + "output": "The patient has polycythemia." + }, + { + "input": "She was given 1 unit of packed cells and her repeat hematocrit was 30.", + "output": "The patient has polycythemia." + }, + { + "input": "The day before transfer labs were as follows: bun 24, cr 1.0, ag 9, alb 2.6, ast 159, alt47, ap 245, bilitot 34, inr rose to 2.1 and is now 1.8 after vitamin k tx, pt 17.9, wbc 13.7, hct 27.9, plt 134.", + "output": "The patient has normal liver function." + }, + { + "input": "She c/o some palpitations occasionally associated with these episodes.", + "output": "She complains of no cardiac symptoms." + }, + { + "input": "She was seen by surgery, not felt to be a surgical candidate but she was improving so then discharged to rehab with plan for ongoing diuresis, antibiotic treatment.", + "output": "Patient has no edema." + }, + { + "input": "Felt to be hypercoagulable 11.", + "output": "Patient is hypocoagulable." + }, + { + "input": "For intervention the patient had angioject and stent to the left anterior descending coronary artery without complications.", + "output": "No history of cardiac disease." + }, + { + "input": "He denied any bright red blood per rectum or melena.", + "output": "The patient has melena." + }, + { + "input": "At that time, she was noted to have significant amount of fatigue.", + "output": "The patient has normal energy." + }, + { + "input": "The patient was in his usual state of health until [**3370**], when he was diagnosed with a t4n0mx squamous cell carcinoma of the bladder.", + "output": "The patient has transitional cell carcinoma." + }, + { + "input": "\ufeffmitral valve prolapse; 4.", + "output": "No history of valvular heart disease." + }, + { + "input": "Vital signs on arrival of ems were", + "output": "Patient has no complaints." + }, + { + "input": "Autonomic testing [**4-15**], [**2857**] with evidence of parasympathetic nervous system dysfunction on valsalva and heart rate variability testing.", + "output": "The patient has a normal parasympathetic nervous system." + }, + { + "input": "His primary oncology team has been using puva treatment for this while attempting to taper his steroids. .", + "output": "He has no history of steroid treatments." + }, + { + "input": "Looks like antibiotics changed from ceftriaxone/azithro to levaquin on [**11-14**].", + "output": "The patient received no antibiotic treatment." + }, + { + "input": "Macrocytic anemia uti", + "output": "Normal cbc." + }, + { + "input": "The patient's symptoms recurred shortly after this procedure.", + "output": "The patient's symptoms resolved after the procedure." + }, + { + "input": "Possibly [**12-26**] chronic blood loss.", + "output": "The patient is has a normal hemaglobin." + }, + { + "input": "Initial ekg showed nsr with 1-1.5 mm ii, iii, avf with loss of st segment.", + "output": "Patient has a stemi." + }, + { + "input": "Cad, status post angioplasty with stent two years ago.", + "output": "No history of cardiac disease." + }, + { + "input": "He was referred to dr. [**first name4 (namepattern1) 49**] [**last name (namepattern1) **] for an endoscopic ultrasound and that examination showed gross cystic disease of the head of the pancreas.", + "output": "The patient has a normal pancreas." + }, + { + "input": "Bilateral hip fractures.", + "output": "No history of fractures." + }, + { + "input": "History of naphthelene induced coma from inhaling moth balls 11.", + "output": "The patient has had no neurological insults." + }, + { + "input": "Only when given etomidate and sedation prior to shocks did he lose consciousness.", + "output": "Patient is conscious while undergoing cardioversion." + }, + { + "input": "At [**hospital1 **], patient given fosphenytoin with subsequent allergic reaction halfway through infusion with pruritis, urticaria, erythema to abdomen.", + "output": "The patient tolerated the medication well." + }, + { + "input": "He was found to have continued bleeding/brbpr and sent over to [**hospital3 7481**]hospital.", + "output": "He denies bleeding." + }, + { + "input": "He had an intial svo2 of 73.", + "output": "Mixed venous oxygen saturation was low." + }, + { + "input": "History: this infant was born to a 32-year-old g1, p0 now 1 mother whose prenatal screen is ab positive blood type, antibody negative, hbsag negative, rpr nonreactive, rubella immune with an edc of [**2589-2-6**].", + "output": "The mother is multiparous." + }, + { + "input": "She voided and passed meconium in the delivery room and was taken to the nicu for further management of prematurity.", + "output": "Patient is full term." + }, + { + "input": "But once again, fell in the kitchen, sat down, sat up, and fell back again.", + "output": "The patient has no problems with falls." + }, + { + "input": "Throughout the course of the night the patient remained hemodynamically stable with a fairly high volume requirement as determined by the assessments of the vad bladders as well as the flow on the ventricular assist device and systemic blood pressure.", + "output": "The patient has normal heart function." + }, + { + "input": "Ros pos for cough productive of bloody sputum (occasionally tinged but sometimes large amts).", + "output": "Ros is negative for hemoptysis." + }, + { + "input": "Ems reported that k was 7.9 today, initially though to be post-hd (now seems more likely to have been pre-hd).", + "output": "Potassium levels were low." + }, + { + "input": "He was also initially treated with levofloxacin and vancomycin for rll pneumonia, but these were discontinued prior to transfer when repeat cxr showed persistant effusion but no consolidation. .", + "output": "The patient was not on antibiotics." + }, + { + "input": "He was started on levofloxacin and flagyl for presumed asp pna.", + "output": "The patient has clear lungs." + }, + { + "input": "Tegretol level was 4.4 that day at [**hospital1 2375**].", + "output": "The patient does not take any medications." + }, + { + "input": "There was one episode of a seizure where the patient mistakenly thought he was supposed to be on 750 mg b.i.d., when in fact he was found to be on a higher dose.", + "output": "The patient does not take medication." + }, + { + "input": "Noted to be somnolent at hd, but was not noted to be somnolent in the ed. .", + "output": "Patient has not received dialysis." + }, + { + "input": "Pt states that the chest pain came on while at rest, located on the right side radiating down his right arm, described as sharp, associated with shortness of breath, diaphoresis, nausea, no vomiting.", + "output": "The patient denies chest pain." + }, + { + "input": "He denies rest dyspnea, and denies orthopnea or pnd.", + "output": "Patient is in acute heart failure." + }, + { + "input": "Renal cell carcinoma s/p nephrectomy 6. sleep apnea 7. diverticulitis 8. iliac stent", + "output": "Patient has both native kidneys." + }, + { + "input": "She was likely face down for 2-3 minutes.", + "output": "She was supine." + }, + { + "input": "Past medical history: his past medical history is significant for type 1 diabetes, since the age of 7; mi x2, cad, refused cabg in [**6-12**], history of chf with an ef of 30 percent, history of cva, history of peripheral vascular disease, status post bilateral fem-[**doctor last name 410**], status post amputation of second toe in both feet, history of neuropathy, retinopathy, and gerd.", + "output": "The patient has well controlled diabetes." + }, + { + "input": "She now returns with similar symptoms of nausea, vomiting and abdominal pain since day prior to admission and again is found to have a partial sbo on ct.", + "output": "She has normal gastrointestinal function." + }, + { + "input": "Patient also had her lovenox restarted. .", + "output": "Patient is not anticoagulated." + }, + { + "input": "Patient reports hospitalization in [**3322**]'s for mi but does not know details.", + "output": "The patient has no cardiac history." + }, + { + "input": "Lactate noted to be 6->11 x 3 despite ivfs (received total 1.5l).", + "output": "The patient has normal labs." + }, + { + "input": "53 yr old male w/ severe tracheobronchomalacia s/p tracheoplasty in [**2-20**] w/ recurrent malacia [**3388-5-19**]", + "output": "Patient has normal airway." + }, + { + "input": "Eats out often but does not recall any strange foods.", + "output": "The patient only eats home cooked food." + }, + { + "input": "\ufeffbenign prostatic hypertrophy.", + "output": "No prostate abnormalities." + }, + { + "input": "The patient also has questionable obstructive sleep apnea although there is no record of a sleep study.", + "output": "The patient denies sleep apnea." + }, + { + "input": "History of present illness: fifty-five year old with male with end-stage renal disease who is hemodialysis dependent, who at dialysis session aborted midway on [**last name (lf) 2928**], [**3269-6-28**] because he developed chest pain midway through dialysis.", + "output": "The patient is asymptomatic." + }, + { + "input": "Intubated with 7.5 ett for agonal breathing using 7 mg vecuronium, 20 mg etomidate, & 4 mg ativan.", + "output": "The patient is on room air." + }, + { + "input": "His oxygen requirement has increased from 2l nc at night only to 80% of the time requiring supplemental oxygen.", + "output": "Patient does not require o2." + }, + { + "input": "She denies fevers, chills, cough, and dysuria.", + "output": "The patient has urosepsis." + }, + { + "input": "No blood in stool. .", + "output": "Patient has a large bleeding colonic mass." + }, + { + "input": "Patient was noted to be pale, cold and clammy, unclear if she experienced chest pain given baseline dementia.", + "output": "The patient has a normal exam." + }, + { + "input": "She received four soap suds enemas and one tap water enema and has had several bowel movements, the last one today was formed.", + "output": "The patient has diarrhea." + }, + { + "input": "Chronic anemia (with a baseline hematocrit of 34 to 35).", + "output": "The patient hsa a normal blood count." + }, + { + "input": "At this point patient received vanc/levo/ctx.", + "output": "The patient received no antibiotics." + }, + { + "input": "Cervical degerative disease", + "output": "Patient has acute fracture." + }, + { + "input": "Given presenting complaint of seizures, meningitis was considered but lp was deferred.", + "output": "Patient has normal neurolgoic exam." + }, + { + "input": "Upon arrival at [**hospital6 33**], initial cpk was 64 and troponin was 0.02.", + "output": "The patient has a markedly elevated troponin." + }, + { + "input": "She received 2mg ativan and 2mg dilaudid after which, she became somewhat lethargic requiring 0.4mg naloxone x2.", + "output": "She tolerated them ativan and dilaudid well." + }, + { + "input": "History: baby [**name (ni) **] [**known patient lastname 446**] [**known patient lastname 17464**] was born at 30 weeks gestation to a 28-year-old gravida i, para i woman.", + "output": "Patient was born at term." + }, + { + "input": "Heparin gtt not initiated given history of hemorrhagic cvas. .", + "output": "The patient is anti coagulated." + }, + { + "input": "Maternal history: this is a 35 year-old gravida 2 para 0 now notable for spontaneous abortion.", + "output": "Patient has children." + }, + { + "input": "He was admitted to the nicu on day of life 2 for evaluation of possible neonatal abstinent syndrome.", + "output": "The patient has a normal exam." + }, + { + "input": "During that admission, he was found on imaging to have a left intraparenchymal hemorrhage.", + "output": "Patient has normal head ct." + }, + { + "input": "History: chest pain, shortness of breath, nausea and vomiting.", + "output": "The patient has no symptoms of an acute myocardial infarction." + }, + { + "input": "He was tachycardic to 120s but normotensive.", + "output": "The patient is hypotensive." + }, + { + "input": "And this point is stable tolerating regular diet waiting for rehab placement.", + "output": "The patient has poor po intake." + }, + { + "input": "Past medical history: basal cell carcinoma, squamous cell carcinoma.", + "output": "No history of skin cancer." + }, + { + "input": "During this time she was given morphine, started on a nitro gtt and had complete relief of her chest pain.", + "output": "She received treatment without relief of her chest pain." + }, + { + "input": "Denies any h/a, neck stiffness, lh/dizziness, sob/cp/palpitations, vomiting, diarrhea, melena, hematochezia/brbpr, swelling in her extremities, focal weakness/loss of sensation/paresthesias. .", + "output": "The patient complains of headaches." + }, + { + "input": "He could not move his right arm.", + "output": "The patient has normal movement in his extremeties." + }, + { + "input": "By ems report patient alert at scene; left leg deformity with stable vs. patient transferred to [**hospital1 52**] for trauma care.", + "output": "Patient has no history of trauma." + }, + { + "input": "Cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope.", + "output": "The patient complains of lightheadedness." + }, + { + "input": "Atrial fibrillation s/p ablation [**2-4**] 4.", + "output": "No history of arrhythmias." + }, + { + "input": "She reports that the emesis is bilious in nature and without blood.", + "output": "The patient has gastric outlet obstruction." + }, + { + "input": "Ascending aortic aneursym mild aortic insufficiency hypertension elevated cholesterol prior cholecystectomy history of colitis", + "output": "Patient has normal blood pressures." + }, + { + "input": "She received a complete course of betamethasone and was also treated with ampicillin and erythromycin.", + "output": "She received no antibiotics." + }, + { + "input": "Past medical history: bronchoalveolar carcinoma diagnosed in [**2522**], status post right lower lobe lobectomy times two in [**2524**] and [**2530**].", + "output": "Patient has no malignancy." + }, + { + "input": "During pushing, fetal heart rate noted to be depressed, prompting delivery by cesarean section.", + "output": "Uncomplicated vaginal delivery." + }, + { + "input": "Maternal obstetric history is also notable for a prior fetal loss at 25 weeks gestation in [**3371**].", + "output": "She has had no prior pregnancies." + }, + { + "input": "Chemistry panel with na 145, k 4.8, cl 98, hco3 34, bun 50, cr 1.7 [baseline cr 0.9 - 1.4 in past few months].", + "output": "The patient has a normal creatinine." + }, + { + "input": "He has had some weakness.", + "output": "The patient has a normal neurologic exam." + }, + { + "input": "A cardiac catheterization was performed in mid [**month (only) **] which revealed diffuse triple vessel disease.", + "output": "The patient does not have coronary artery disease." + }, + { + "input": "In the ed the patient was given 5 liters of fluids.", + "output": "The patient is hypervolemic." + }, + { + "input": "Cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations.", + "output": "The patient has normal cardiac function." + }, + { + "input": "Pt was withdrawing left side to pain but right side was hypotonic, with depressed reflexes and flexion response only to noxious.\" initial thinking was acute cerebral infarct vs. ischemia secondary to low flow state in setting of acute bp drop.", + "output": "The patient has a normal neurologic exam." + }, + { + "input": "She was given 1u prbc, kcl, levofloxacin x1, vitamin k, 1 unit of ffp and diluadid.", + "output": "The patient has a normal cbc." + }, + { + "input": "An ekg done at the office showed new lbbb, so the patient was sent to [**hospital 388**] hospital for a work up, where three sets of cardiac enzymes were negative, no events on tele, and a tte showeda 1.1cm squared aortic valve area.", + "output": "The patient has aortic stenosis." + }, + { + "input": "The patient was without other complaints.", + "output": "Patient has multiple complaints." + }, + { + "input": "Polyneuropathy manifested lack of balance.", + "output": "The patient has normal sensory function." + }, + { + "input": "Cardiac catherization at outside hospital [**3-28**] showed 70% lad lesion that was stented, 50% proximal circumflex, 50% om-1, and 40% rca.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Patient's condition remained unchanged.", + "output": "The patient condition deteriorated." + }, + { + "input": "Femoral artery sheath was pulled in the catheterization laboratory and the patient was angio-sealed and was then sent to coronary care unit for monitoring.", + "output": "The patient has not had an intraaterial procedure." + }, + { + "input": "High suspition of acute leukemia (84% blasts) with cxr consistent with multifocal pna, started on ceftriaxone and subsequently transferred to the [**hospital1 22**] thereafter.", + "output": "Chest x-ray was normal." + }, + { + "input": "He states that he had increased output in his ileostomy for one week prior to admission, but denied any nausea or vomiting.", + "output": "The patient has no surgical history." + }, + { + "input": "Transferred to [**hospital1 22**] for cardiac catheterization.", + "output": "Patient has no risk of mi." + }, + { + "input": "Multiple blood, urine, pericardial fluid and joint fluid cultures have been otherwise negative.", + "output": "The patient has bacteremia." + }, + { + "input": "1. moderately differentiated prostatic adenocarcinoma of the prostate, [**doctor last name **] grade 3-4/5 of the left lobe s/p external beam radiation '[**25**] 2. s/p urethotomy for membranous urethral stricture '[**29**] 3.", + "output": "The patient has no history of malignancy." + }, + { + "input": "H/o multiple nonmelanoma skin cancers", + "output": "No history of skin cancer." + }, + { + "input": "This is a 19 y/o female with a h/o of depression who presented with a benadryl overdose on [**2950-2-28**].", + "output": "The patient has normal mental status." + }, + { + "input": "Moderate speed mvc and pt. thrown [**9-25**] feet.", + "output": "Patient has normal physical exam." + }, + { + "input": "Pregnancy was notable for ivf twin gestation and preterm labor at 26 and 3/7 weeks gestation with successful tocolysis at that time.", + "output": "The patient that patient has a history of a prior hysterectomy." + }, + { + "input": "Rpr nonreactive, rubella immune, gbs unknown.", + "output": "The patient is not pregnant." + }, + { + "input": "Pregnancy history: pregnancy reportedly benign.", + "output": "The patient had hellp syndrome." + }, + { + "input": "He also developed hyperglycemia and was controlled with nph.", + "output": "The patient has normal blood sugar." + }, + { + "input": "History of peripheral vascular disease status post left lower extremity below the knee amputation.", + "output": "Patient has no surgical history." + }, + { + "input": "Presented to [**hospital 5193**] hospital on [**12-16**] with cough, dyspnea x [**3-19**] days.", + "output": "Patient has no symptoms." + }, + { + "input": "During the workup she underwent a transesophageal echocardiogram which showed an atrial septal defect.", + "output": "The echo was revealed no abnormalities." + }, + { + "input": "History of hypercholesterolemia.", + "output": "No history of elevated cholesterol." + }, + { + "input": "Further lab tests upon admission included a leukemia/lymphoma eval which yielded abundant myeloblasts with a probable diagnosis of aml.", + "output": "The patient\u2019s lab work was normal." + }, + { + "input": "He was treated with bipap at that time.", + "output": "Respiratory function is normal." + }, + { + "input": "He was given flagyl 500 mg once, levofloxacin 500 mg once, started on insulin drip with a bolus, and given total of 6l ns.", + "output": "Patient has no infection." + }, + { + "input": "She does c/o pain where ct inserts and nausea. .", + "output": "She denies pain, nausea or vomiting." + }, + { + "input": "On presentation to osh ed he was hypotensive with sbp 90, hr 140.", + "output": "Vitals were within normal limits." + }, + { + "input": "He came to the ed due to not being able to tolerate pos.", + "output": "He has no health concerns." + }, + { + "input": "He was initally treated with levofloxacin for pnuemonia and diuresed.", + "output": "The patient does not have an infection." + }, + { + "input": "Gastroesophageal reflux disease 11. depression", + "output": "The patient has a normal ge junction." + }, + { + "input": "He has had 8 ed visits since that admission, typically for dysuria and abdominal pain.", + "output": "The patient has never been admitted to the hospital." + }, + { + "input": "Ij line was removed and a second peripheral iv was placed.", + "output": "The patient does not have venous access." + }, + { + "input": "Basic labs demonstrated hyponatremic (na 118), hypokalemic, hypochloremic metabolic alkalosis.", + "output": "The patient's labwork was within normal limits." + }, + { + "input": "She was brought to the ed where she was found to have continued abdominal pain.", + "output": "Patient has no symptoms." + }, + { + "input": "No recent foreign travel.", + "output": "The patient recently traveled to south america." + }, + { + "input": "He was referred in for cardiac catheterization which was performed on the following day, [**2737-5-25**].", + "output": "Patient has no medical history." + }, + { + "input": "Lower gi bleed 2 years ago- found to have an avm in the terminal ileum 3.", + "output": "The patient has no history of lower gi bleed." + }, + { + "input": "History of present illness: the patient is a 39-year-old woman transferred from [**hospital6 19475**] center for treatment of severe pancreatitis.", + "output": "The patient has normal lipase." + }, + { + "input": "Patient was in her usoh up until this am. .", + "output": "Patient has no new complaints." + }, + { + "input": "Mother is a 46 year old, gravida ii, para i, now ii woman, with estimated date of confinement of [**3326-10-19**].", + "output": "The patient has never been pregnant." + }, + { + "input": "Patient fell, hit his head.", + "output": "No history of falls or trauma." + }, + { + "input": "He was briefly hypotensive during the procedure and was given dopamine until an intra-aortic balloon pump was placed.", + "output": "Patient has no requirement for iabp." + }, + { + "input": "Membranes were intact at the time of delivery, and there were sepsis risk factors identified.", + "output": "Patient has premature rupture of membranes." + }, + { + "input": "The patient had lost fifteen pounds of weight in the [** location **]us one and one half weeks.", + "output": "Patient has stable bmi." + }, + { + "input": "She stated she feel fine except for \"tiredness\".", + "output": "She reports no fatigue." + }, + { + "input": "She also was placed on bipap for oxygenation.", + "output": "The patient is on room air." + }, + { + "input": "Concerning the vertebral artery dissection, he was found to have this after sustaining a hit while playing ice-hockey with friends about 4 weeks ago, after which he has had multiple episodes of acute dizziness and headaches that have been different from his [** location **]us migraines.", + "output": "No recent trauma." + }, + { + "input": "He was also treated with fluconazole for urine cultures positive for yeast from [**date range (1) 9717**] and then again from [**9-27**] to present.", + "output": "Patient has no active infection." + }, + { + "input": "Glucose of 581, anion gap of 23, urine with positive ketones.", + "output": "The patient has a normal functioning pancreas." + }, + { + "input": "History of present illness: the patient is a 50 year old male who on [**2849-8-1**], was caught and dragged by a train car.", + "output": "Patient has no complaints." + }, + { + "input": "As part of his workup, the patient received a cardiac catheterization which subsequently demonstrated severe aortic stenosis with an aortic valve area of 0.78 cm2 and mild grade [**12-12**] aortic insufficiency.", + "output": "Patient has a normal aortic valve area." + }, + { + "input": "The patient had pacing attempted without success.", + "output": "Patient has nsr." + }, + { + "input": "Exercise mibi in [**3-14**] demonstrated good exercise tolerance (9.5 min on [**doctor first name 388**]) w/o ischemic changes, and fixed inferior wall defect.", + "output": "Patient has an acute infarct." + }, + { + "input": "He appeared very uncomfortable, and was very tender to palpation at llq, but no guarding or rebound.", + "output": "Patient has normal ros." + }, + { + "input": "32 yo male with known seizure history attempting to ween off medication in attempt to re-enter active military service.", + "output": "No history of seizures." + }, + { + "input": "Expected date of confinement for this pregnancy was [**2844-6-5**] by 22 week ultrasound.", + "output": "The patient is in her first trimester of pregnancy." + }, + { + "input": "* schizoaffective d/o * brain damage since admission to [**hospital1 862**] in [**3122**] * hx of etoh abuse, none x 15 years * hx of substance abuse, uses oxycontin recreationally", + "output": "The patient has no history of substance abuse." + }, + { + "input": "During her recent hospitalization from [**3430-9-6**] to [**3430-9-14**] for third induction cycle of high-dose methotrexate, she develop mental status changes.", + "output": "The patient has no mental status change." + }, + { + "input": "[**known patient lastname 9190**] was in his usual state of health until he presented to [**hospital3 **] four days prior for abdominal pain and fevers.", + "output": "The patient is afebrile." + }, + { + "input": "He did not have any further episodes of bleeding.", + "output": "The patient has never had any episodes of abnormal bleeding." + }, + { + "input": "She did not notice any facial droop or any obvious weakness.", + "output": "The patient has facial droop." + }, + { + "input": "He later retracted suicidal intent.", + "output": "The patient has no history of suicidal ideations." + }, + { + "input": "Has been taking po vanco.", + "output": "The patient is taking iv vancomycin." + }, + { + "input": "History of present illness: the patient is a 60-year-old male with history of metastatic [**year (4 digits) 119**] cancer to the liver with low back pain times four to five weeks with an acute worsening of pain last night while sleeping.", + "output": "Patient has normal physical exam." + }, + { + "input": "Technique: axial multidetector ct images of the facial bones were obtained without intravenous contrast.", + "output": "The ct scan was preformed on the foot." + }, + { + "input": "She described the pain as [**7-2**] epigastric with left flank radiation.", + "output": "She denies pain." + }, + { + "input": "He has been using his nebulizers more frequently.", + "output": "The patient has normal lungs." + }, + { + "input": "The patient had multi[** location **]fusions of intracoronary nitroglycerin and diltiazem to improve flow.", + "output": "Cardiac function is normal." + }, + { + "input": "25 [**last name (un) **] with mg s/p thymectomy, xrt on prednisone and mestinon. presenting with 1.5 weeks of doe.", + "output": "The patient has full muscle strength." + }, + { + "input": "She went to [**hospital1 **]-[**location (un) 7342**] er where her initial vital signs showed fever of 104, tachycardia up to 120s and 83% on ra.", + "output": "Her vitals were within normal limits." + }, + { + "input": "[**name (ni) **] mother reports that pt has had breathing problems the past 3 weeks, and has had l ear pain/swelling for months.", + "output": "Patient has negative ros." + }, + { + "input": "Upon arrival to the [**hospital unit name 69**] he feels well w/o complaints.", + "output": "The patient complains of nausea." + }, + { + "input": "Anticoagulated for mech [**year (2 digits) 1276**].", + "output": "The patient is at low risk for a blood clot when not taking a blood thinner." + }, + { + "input": "He was born by repeat c-section.", + "output": "The baby was born vaginally." + }, + { + "input": "Left hallux ipj ulcer 12.", + "output": "Patient has normal examination." + }, + { + "input": "Coronary artery disease with st elevation.", + "output": "The patient has a normal ekg." + }, + { + "input": "Neck mass: on bx, undifferentiated high grade malignany neoplasm with unknown primary source.", + "output": "Patient has no evidence of metastatic disease." + }, + { + "input": "This was an iui pregnancy.", + "output": "This was an unplanned pregnancy." + }, + { + "input": "[**hospital ward name **] cyst removal.", + "output": "Patient has no skin complaints." + }, + { + "input": "Prenatal screens: blood type a positive, antibody negative, rubella immune, hepatitis b surface antigen negative, rpr nonreactive, group beta strep status unknown.", + "output": "Screening test for syphilis was positive." + }, + { + "input": "Cataracts 9. glaucoma", + "output": "No history of eye condition." + }, + { + "input": "Last hd session was friday, [**9-11**] before discharge from [**hospital1 52**].", + "output": "The patient has no history of elevated creatinine." + }, + { + "input": "Prior carotid study showed left 50-70% stenosis, and right less than 50%.", + "output": "Imaging reveals no carotid artery stenosis." + }, + { + "input": "A cesarean section was indicated with breech presentation.", + "output": "The patient had a vaginal delivery." + }, + { + "input": "He was given 80 mg of iv lasix x1, which he put out several liters of urine.", + "output": "Patient has urinary outlet obstruction." + }, + { + "input": "He underwent emergent catheterization after being transferred to [**hospital1 47**] emergency department.", + "output": "The patient has no acute complaints." + }, + { + "input": "Last week he underwent carotid u/s which revealed progression of left carotid disease to >70%.", + "output": "Patient has widely patent carotid vasculature." + }, + { + "input": "In the ed, initial vs were: t 98.3 hr 98 bp 103/86 rr 16 100% ra.", + "output": "Patient has a fever." + }, + { + "input": "Her apgar's were 8 at one minute and 9 at five minutes.", + "output": "The patient is obtunded." + }, + { + "input": "She also noted a cough productive of yellow sputum for 2-3 days without fever, chest pain, le edema, pnd, or othopnea.", + "output": "Patient denies cough." + }, + { + "input": "While in micu, patient treated with zosyn for lle cellulitis.", + "output": "Patient is not on antibiotics." + }, + { + "input": "87 year old male with history of chronic gib, ftt with j-tube who presents with fever, hypotension and depressed hct.", + "output": "His vitals are normal." + }, + { + "input": "She was found to be tachycardic to 120/130s with systolic blood pressure of approximately 100 per report.", + "output": "The patient is normotensive." + }, + { + "input": "The patient eventually went to [**hospital6 2256**] where a chest x-ray was obtained and found a right lung mass.", + "output": "The patient has a normal chest x ray." + }, + { + "input": "He recommended one week of tylenol.", + "output": "The patient was prescribed a narcotic pain medicine." + }, + { + "input": "Vomited three times today.", + "output": "Patient has no emesis." + }, + { + "input": "Colon surgery for bowel obstruction in her 60s 13.", + "output": "Patient has not had surgery." + }, + { + "input": "He had an outpatient liver u/s on [**5-17**] but the read is still pending.", + "output": "Patient has no abdominal complaints." + }, + { + "input": "On [**2931-6-17**] mri with gadolinium showed progression of the t2 signal abnormality and contrast enhancement within the pontomesencephalic portion of brainstem.", + "output": "Mri revealed no change." + }, + { + "input": "The patient's status at that time showed her to be able to protect her own airway and she was chosen not to be intubated.", + "output": "Patient is on a ventilator." + }, + { + "input": "Glioblastoma multiforme s/p resection [**11-21**]", + "output": "No history of cancer." + }, + { + "input": "Patient had transoral resection of the odontoid and associated soft tissues on [**2897-8-2**].", + "output": "The patient has not had surgery." + }, + { + "input": "History: the infant is a 32 and 6/7 weeks twin female newborn who was admitted to the nicu for management of prematurity.", + "output": "The infant was born at herm." + }, + { + "input": "However, since that time, the patient has developed increasing pain and coolness of the right foot, which has become more acute over the last 2 weeks.", + "output": "Patient has normal vasculature." + }, + { + "input": "Due to h/o allergies to pcn and sulfa, pt was started on doxycycline and aztreonam for presumed pna.", + "output": "Patient has no medical allergies." + }, + { + "input": "The patient does report having some shortness of breath as well as a chronic cough for the last five months and she also has dyspnea on exertion.", + "output": "The patient denies difficulty breathing." + }, + { + "input": "The patient had an echo in [**2720-3-24**] with an ef of 55%, 1+ mitral regurgitation and tricuspid regurgitation.", + "output": "The patient has heart failure." + }, + { + "input": "A cerebral angiogram revealed the presence of a significant steal phenomenon resulting from shunting of the left vertebral artery flow from the left vertebral to the occipital artery resulting from a left external carotid artery origin stenosis.", + "output": "Cerebral angiogram was unremarkable." + }, + { + "input": "Within 10 minutes, he developed right leg weakness.", + "output": "Patient has no complaints." + }, + { + "input": "He is resting comfortable after egd/enteroscopy.", + "output": "The patient has not had an egd." + }, + { + "input": "He was extubated on [**4-14**] but no real progress was made on his ileus.", + "output": "The patient has normal bowel function." + }, + { + "input": "Her duaghter noticed that she was more sob although pt denies she was sob until today around noon.", + "output": "The patient has no issues breathing." + }, + { + "input": "82f with a history of diverticulosis and lower gi bleeds with last colonoscopy at [**hospital1 634**] in [**9-17**].", + "output": "The patient had a negative colonoscopy." + }, + { + "input": "Bone marrow biopsy done on [**2945-11-8**] showed a marrow cellularity of 28-30%, interstitial infiltrate of plasma cells occurring singly and in clusters.", + "output": "The patient has a normal bone marrow." + }, + { + "input": "Although the peg tube fastener looked \"loose\" on g-tube fluoroscopy, there was no evidence of extravasation.", + "output": "The patient does not have an abdominal feeding tube." + }, + { + "input": "Most recent spirometry within normal limits.", + "output": "Spirometry results were abnormal." + }, + { + "input": "Reason for consult; code stroke time code stroke called: 0850 (24h clock) time neurology at bedside for evaluation: 0855 time (and date) the patient was last known well: 0820 nih stroke scale score: 20 t-[**md number(3) 13677**]: yes time t-pa was given: 0944 i was present during the ct scanning and reviewed the images instantly within 20 minutes of their com[** location **]n.", + "output": "The patient has a normal neurological exam." + }, + { + "input": "Telemetry in the er was notable for a wide fast beats which were thought to be originally ventricular tachycardia.", + "output": "Normal cardiac function." + }, + { + "input": "Was recovering well and approaching discharge to [** location **]us inpatient facility.", + "output": "The patient remained in critical condition." + }, + { + "input": "Left hip arthritis.", + "output": "Patient has left hip rheumatoid arthritis." + }, + { + "input": "The family went to the house to check on her and found her ambulating with non fluent, nonsensical speech.", + "output": "The patient has normal mental status." + }, + { + "input": "A diagnosed thoracentesis had shown this fluid to be likely a transudate.", + "output": "The patient has does not have fluid in the lung." + }, + { + "input": "Recent admit [**date range (1) 6002**] with fever, diarrhea with urosepsis went to [**hospital1 1483**].", + "output": "Patient has no recent hospitalization." + }, + { + "input": "No ha or visual changes. .", + "output": "The patient is having migraines with auras." + }, + { + "input": "Hyperlipidemia htn factor v leiden defeciency associated with bilateral dvts", + "output": "No history of deep vein thrombosis." + }, + { + "input": "An central line in the left groin was placed.", + "output": "The patient has no medical problems." + }, + { + "input": "The patient was born to a 31-year-old gravida 1, para 0, now 1 mother.", + "output": "The patient has siblings." + }, + { + "input": "Ct showed an area of colon consistent with inflammation / infection / ischaemia and a fusiform aortic anneurysm.", + "output": "Patient has normal imaging." + }, + { + "input": "Sat improved to 97% on 4l, but pt drowsy.", + "output": "The patient does not require oxygen." + }, + { + "input": "Upon arrival he complained of difficulty breathing and the chest was dull toe percussion.", + "output": "Patient has normal physical exam." + }, + { + "input": "He then had an mrcp which demosntrated a dilated main pancreatic duct with multiple large cystic areas that appear to be in communication with the main pancreatic duct, most prominent at the tail of the pancreas.", + "output": "The patient has a normal pancreatic duct." + }, + { + "input": "The screening car seat test resulted in desaturations.", + "output": "Car seat screening revealed no desaturations." + }, + { + "input": "He denied chest pain or shortness of breath at that time.", + "output": "The patient is having chest pain." + }, + { + "input": "He was intially treated for a copd exacerbation with steroids, nebulizers and antibiotics.", + "output": "Patient has no distress." + }, + { + "input": "The patient had an elevated creatinine during that admission which was thought to be secondary to over diuresis, so her lasix dose was decreased.", + "output": "Creatinine was within normal limits." + }, + { + "input": "Apparently she took her regular dose of mestinon 120mg (60mg/tab, 2 tablets/dose) at 5:30am when she woke up and 9:30am before she left hotel, but did not get any dose afterward until 6:00pm.", + "output": "She is on no medications." + }, + { + "input": "Re-evaluation at one hour revealed an infant who was pink but continued with respiratory distress.", + "output": "The patient is cyanotic." + }, + { + "input": "57 yo with etoh abuse, copd, pvd, dm, h/o hiatal hernia who presented to osh on [**3466-5-29**] for abd bloating and dyspnea x6-7 weeks.", + "output": "The patient has no respiratory disease." + }, + { + "input": "He was in his usual state of health until trying to lift a heavy object on the day of admission when he developed sudden [**7-11**] substernal chest pain, epigastric pain with radiation, diaphoresis, nausea, no vomiting, palpitations, shortness of breath or lightheadedness.", + "output": "The patient is complaining of symptoms of a stroke." + }, + { + "input": "Chest ct showed no change but confirmed changes from aspergilloma.", + "output": "No pulmonary abnormalities." + }, + { + "input": "This 73 [**male first name (un) 1343**] presented to [**hospital3 **] er with chest pain and nausea.", + "output": "Patient has no need for ekg." + }, + { + "input": "Abdominal pain has definitely improved from last admission but still has some diffuse tenderness and a feeling like bloating/gas.", + "output": "The patient has no abdominal pain." + }, + { + "input": "Headache is frontal in nature, sharp and stabbing, no vision changes, no dizziness, no syncope.", + "output": "There is headache associated with blurry vision." + }, + { + "input": "This was an unplanned pregnancy.", + "output": "The patient was inpregnated by ivf." + }, + { + "input": "The patient can only answer yes or no questions.", + "output": "The patient is able to speak in full sentences." + }, + { + "input": "He was extubated and weaned to room air by day of life three, was treated with caffeine citrate for apnea of prematurity, which resolved prior to his discharge off caffeine.", + "output": "The patient was born at term." + }, + { + "input": "Human immunodeficiency virus diagnosed in [**3114**].", + "output": "The patient has no history of hiv." + }, + { + "input": "Her pain had markedly increased in the past few weeks.", + "output": "Patient has no complaints." + }, + { + "input": "The patient underwent an egd, which demonstrated esophageal varices.", + "output": "Patient has a normal egd." + }, + { + "input": "Her daughter helped her to bed and noted she was tachypneic so she called her brother who is a md and then ended up calling ems.", + "output": "The patient was breathing normally." + }, + { + "input": "In the ed vs: , exam was notable for elevated jvd, tachypnea and bibiasilar rales.", + "output": "Patient has normal cxr." + }, + { + "input": "Copd with a fev1 of 0.6.", + "output": "Patient has normal oxygenation." + }, + { + "input": "Copd with a fev1 of 0.6.", + "output": "Patient has normal chest ct." + }, + { + "input": "She had an ultrasound in [**3300-3-9**] which was reported to be normal.", + "output": "The patient had an abnormal ultrasound." + }, + { + "input": "In the ed, initial vitals: 98.2, 76, 113/81, 28, 95% on 4l.", + "output": "The patient is hypotensive." + }, + { + "input": "Cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, ankle edema, palpitations, syncope or presyncope.", + "output": "Patient reports angina." + }, + { + "input": "54yo male with multiple myeloma, h/o dvt 2 yrs ago after long car ride, on coumadin for 8 months and then off, who presented with syncope, sob, palpitations and was found to have bilateral massive pes on ct.", + "output": "Patient has no prior dvt." + }, + { + "input": "He received aspirin 325 mg po, levofloxacin 750 mg iv, and lasix 10 mg iv.", + "output": "The patient does not have iv access." + }, + { + "input": "He denied loss of consciousness.", + "output": "He had a loss of consciousness." + }, + { + "input": "With little sleep, extra strength tylenol took the edge off.", + "output": "Tylenol is an opiate pain medication." + }, + { + "input": "She also notes that her right abdomen is sore agian, which it becomes when she has these utis.", + "output": "She denies pain in her abdomen." + }, + { + "input": "Given inr 4.2 and hct 29, he received a total of 5 u ffp and 5 u prbc.", + "output": "The patient is at no increased risk of bleeding." + }, + { + "input": "No pericardial effusions.", + "output": "The patient has cardiac tamp anode from compression from pericardial fluid." + }, + { + "input": "Past medical history: 1.", + "output": "Patient has -." + }, + { + "input": "History of lyme's disease.", + "output": "No history of infectious disease from tick bites." + }, + { + "input": "No focal neurological deficits.", + "output": "Patient has had a large stroke." + }, + { + "input": "This intubation was complicated by a lip laceration.", + "output": "Patient tolerated procedure well." + }, + { + "input": "He was noted to be non-verbal. .", + "output": "Patient has normal exam." + }, + { + "input": "It is unclear what her anticonvulsant levels have been recently.", + "output": "The patient has never had a seizure." + }, + { + "input": "Small bowel obstruction with colectomy in [**2963**].", + "output": "The patient has no history of obstruction." + }, + { + "input": "No total parenteral alimentation or heparin was given because of his recent cerebrovascular accident.", + "output": "The patient has a normal brain mri." + }, + { + "input": "- anemia - bph - atrial fibrillation - benign hypertension - history of hemorrhagic prostatitis ([**4-/2920**]) - history of stroke with late effects - primary progressive aphasia and dysphagia s/p g tube - glaucoma - history of mrsa bacteremia - history of enterococcal bacteremia - history of fungemia - history of recurrent utis - history of c. diff - history of obturator internis abscess", + "output": "Patient has no pmh." + }, + { + "input": "History of present illness: [**known patient lastname **] [**known patient lastname 11102**] is the 3.710-kg (8- pound 3-ounce) product of a term gestation.", + "output": "The patient was born premature." + }, + { + "input": "On initial presentation, there were no available family members and so history was difficult to corroborate.", + "output": "The patient was a good historian." + }, + { + "input": "Given levofloxacin and vancomycin.", + "output": "No signs or symptoms of infection." + }, + { + "input": "Renal failure secondary to diabetes mellitus on hd status post r nephrectomy for renal cell cancer depression cholecystectomy gastric ulcer pvd s/p left sfa to dorsalis pedis artery bypass for l gangrenous heel in [**3335**]; r proximal sfa to proximal at bypass on [**3339-3-19**] osa gastroparesis", + "output": "The patient has no past medical history." + }, + { + "input": "This was in the vicinity of a known seroma and we were uncertain if this was infected being as he was having no fevers, no pain, and no erythema.", + "output": "Patient has abnormal imaging." + }, + { + "input": "Multiple drug allergies, including to multiple antibiotics.", + "output": "No known drug allergies." + }, + { + "input": "Pt was getting ready to go to bed when he developed chest pain around 11:20pm, unremitting, lasted 20 min, then wife drove him to [**name (ni) **] ([**street address(2) 21790**]). + association with diaphoresis, no n/v/sob/palpitations.", + "output": "The patient denied pain." + }, + { + "input": "Recent increase in clotting time and decreased _________ .", + "output": "The patient had no bleeding issues." + }, + { + "input": "Left foot drop in [**6-/3239**] 12.", + "output": "Patient has normal exam." + }, + { + "input": "The patient received levaquin, lasix, and normal saline in the emergency room and had a bicarbonate which was decreased from 16 to 6 with a ph on arterial blood gas of 7.16.", + "output": "Patient has normal blood ph." + }, + { + "input": "With this presentation, bowel ischemia was considered.", + "output": "Normal gi function." + }, + { + "input": "Recent diagnosis of atrial fibrillation.", + "output": "The patient has a regular heart beat." + }, + { + "input": "Upon arrival, pt intubated and sedated.", + "output": "The patient is alert." + }, + { + "input": "Her headache, though, has ceased, apart from a \"pricking\" on the left side last night.", + "output": "Her headache has gotten worse." + }, + { + "input": "? left sided pleurisy diverticulosis htn: rx'ed with norvasc and hctz endometriosis bladder ca, s/p resection s/p ccy '[**51**] s/p appendectomy s/p tkr c.diff in [**2650**] pud ischemic colitis [**2649**]", + "output": "The patient has no past medical history." + }, + { + "input": "The patient was subsequently admitted to the floor and was continued on iv heparin until [**3383-9-24**].", + "output": "The patient received no treatment." + }, + { + "input": "The infant transported to the neonatal intensive care unit.", + "output": "The mother had an uncomplicated pregnancy." + }, + { + "input": "Status post knee surgery.", + "output": "The patient has no surgery history." + }, + { + "input": "History of present illness: baby girl [**known patient lastname 2707**] is a 1060 gm in [**last name (un) 3244**] fertilization triplet born by cesarean section for advanced preterm labor and breech presentation at 28 2/7 weeks to a 38 year old gravida 1, para 0-3.", + "output": "Patient is a male." + }, + { + "input": "Pt was supposed to go for burr hole [**3280-9-19**] but it was postponed bc he desatted. triggered for resp distress, cxr neg.", + "output": "The patient has a normal ct head." + }, + { + "input": "55yo male s/p fall down stairs.", + "output": "The patient denies fall." + }, + { + "input": "Admitted on [**3491-10-15**] for maintenance therapy while awaiting bmt.", + "output": "The patient has a normal blood smear." + }, + { + "input": "In the obstetrician's office, on the day of delivery, with hypertension, 1+ proteinuria, headache and epigastric pain.", + "output": "Patient has no symptoms." + }, + { + "input": "Called [**hospital3 3002**], no baseline hct info.", + "output": "Past hematocrit levels have been stable." + }, + { + "input": "The patient had a stool test that was positive for clostridium difficile, and was started on metronidazole as an outpatient.", + "output": "The patient had no gastrointestinal dysfunction." + }, + { + "input": "She was transiently hypotensive and bradycardic in the catheterization lab following stent and she received dopamine briefly as well as atropine after which her hemodynamics stabilized.", + "output": "The patient was tachycardic." + }, + { + "input": "Past medical history: coronary artery disease status post coronary artery bypass graft times two in [**3115-12-5**].", + "output": "Patient has a normal heart." + }, + { + "input": "[**3243-3-22**]- bronch showed stent to be broken along posterior aspect.", + "output": "The patient no endobronchial lesions." + }, + { + "input": "A chest x-ray showed hyperinflated lungs with no infiltrate.", + "output": "Chest x-ray was normal." + }, + { + "input": "Both the echocardiogram and cardiac catheterization showed elevated filling pressures, and the patient was admitted and treated for his volume overload.", + "output": "The patient is volume depleted." + }, + { + "input": "Antibiotics were then changed to vancomycin, ceftriaxone and flagyl on [**9-18**].", + "output": "The patient does not require antibiotics." + }, + { + "input": "Source of the blood loss was unclear but he did have dark stools.", + "output": "There was no evidence of blood in the stools." + }, + { + "input": "History of a seizure disorder; and has not had a seizure for two years.", + "output": "Patient is in status epilepticus." + }, + { + "input": "He also had a spine mri which demonstrated a t1 compression fracture.", + "output": "Patient has a normal mri spine exam." + }, + { + "input": "Wanted to be admitted to [**hospital1 **] 4 again. .", + "output": "Patient wishes to be seen outpatient." + }, + { + "input": "Last dialysis [**3-21**].", + "output": "Patient has normal kidney function." + }, + { + "input": "Of note, the patient was recently discharged from [**hospital1 277**] for a prolonged course for respiratory failure from parainfluenza virus triggering a copd exacerbation complicated by nstemi, atrial fibrillation, and oliguric renal failure. .", + "output": "The patient recently was infected with parainfluenza virus and recovered with no complications." + }, + { + "input": "Mild pulmonary hypertension", + "output": "Patient has normal right atrial pressures." + }, + { + "input": "Since the time of his recent discharge two weeks ago, he has not eaten more than a few bites daily.", + "output": "Patient has normal po intake." + }, + { + "input": "History of chronic renal insufficiency secondary to glomerulosclerosis with a bowel sounds creatinine of 2.9 to 3.4.", + "output": "Patient has normal cr." + }, + { + "input": "Subsequently the patient returned on the date of admission for fever and increase in white blood cell count and also abdominal pain in the left lower quadrant.", + "output": "The patient has no symptoms of an infection." + }, + { + "input": "Past medical history: [**location (un) 842**]-gastaut syndrome diagnosed at age 10 associated with approximately six seizures a month.", + "output": "Patient has no complaints." + }, + { + "input": "Urethral sphincter implants in [**2759**] and [**2764**].", + "output": "The patient has never had surgery." + }, + { + "input": "No hip click.", + "output": "Signs of hip dysplasia." + }, + { + "input": "The afternoon of [**9-1**] her daughter noticed that the patient seemed increasingly dyspneic and was hypertensive to 200's.", + "output": "Vitals were within normal limits." + }, + { + "input": "History of present illness: 68yo female s/p recent posterior stroke, on coumadin, here with a gi bleed.", + "output": "The patient has a normal brain structure." + }, + { + "input": "The patient tolerated his procedure well and was doing well after his catheterization until [**3003-11-20**], when he presented with a temperature of 101.0 f., to the emergency department with right lower quadrant abdominal pain similar to his diverticulitis which he has had before.", + "output": "The patient denies pain." + }, + { + "input": "He underwent five cycles of chemotherapy with liposomal daunorubicin for the gastric kaposi's sarcoma, ending in 5/98.", + "output": "The patient has a normal immune system." + }, + { + "input": "She underwent a com[** location **]n left axillary node dissection on [**2649-2-16**] with pathology showing no melanoma in 3 lymph nodes identified.", + "output": "The patient has metastic axillary nodes." + }, + { + "input": "She was admitted to the micu for antibiotic treatment and was weaned to 2l o2 by n/c.", + "output": "The patient does not require supplemental oxygen." + }, + { + "input": "He denies chest pain or shortness of breath.", + "output": "He complains of difficulty breathing." + }, + { + "input": "Five epi injections were applied for hemostatis with success.", + "output": "The patient patient was not given medication." + }, + { + "input": "History of present illness: the patient is a 61 year-old female with multiple medical problems including end stage renal disease on hemodialysis, congestive heart failure with an ef of 45 to 50%, coronary artery disease, hypertension and repeat admissions for congestive heart failure secondary to hypovolemia who presents with shortness of breath on the morning of admission.", + "output": "The patient has normal renal function." + }, + { + "input": "He was scheduled for hemodialysis on the day of admission, and he was to have medical intensive care unit monitoring.", + "output": "The patient has normal renal function." + }, + { + "input": "63 yo indian female w/ pmhx significant for glaucoma, htn, ?", + "output": "The patient has normal blood pressure." + }, + { + "input": "Apgar scores were 2 (+2 for heart rate), 4 (+2 heart rate, +1 color, +1 grimace), and 7 (-1 for color, - 1 tone, -1 grimace).", + "output": "The patient has a low heart rate." + }, + { + "input": "She was emergently transferred to [**hospital1 68**] on med flight and brought to cath.", + "output": "The patient was not transferred by flight." + }, + { + "input": "No large disc protrusion is seen.", + "output": "Imaging reveals disc herniation." + }, + { + "input": "No preceding sx but she has been c/o sscp since arrival of ems and it is now constant.", + "output": "The patient has." + }, + { + "input": "Patient is a 50 yo female para[** location **], developmentally delayed, with nephrotic syndrome admitted to micu s/p i+d/vac placement for wound infection.", + "output": "She has normal urinalysis." + }, + { + "input": "History of escherichia coli urosepsis in [**3086-2-23**].", + "output": "The patient has not been on antibiotics." + }, + { + "input": "Pain started around 20:00 with associated diaphoresis, nausea, and shortness of breath.", + "output": "Patient has negative ros." + }, + { + "input": "Treated for presumptive endocarditis, [**1-25**] 11.", + "output": "The patient has no signs of infection." + }, + { + "input": "Breast ca [**2828**], s/p lumpectomy.", + "output": "No history of breast cancer." + }, + { + "input": "Right lower extremity wound and cellulitis.", + "output": "The patient has no infection." + }, + { + "input": "Noninsulin dependent diabetes mellitus.", + "output": "Patient has no chronic medical condition." + }, + { + "input": "Her abnormal liver functions also resolved during that hospitalization.", + "output": "The patient has worsening lfts." + }, + { + "input": "Taken to cath lab, lad c proximal 90 % lesion c ulceration.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "When no neurological responses were was found during patient's hospitalization, including absence of coronary blink reflexes, minimum pupillary reflexes and decorticate posturing.", + "output": "The patient is alert." + }, + { + "input": "The decision was made to intubate the patient due to difficulty speaking.", + "output": "The patient is not on a ventilator." + }, + { + "input": "Her troponin also returned elevated at 0.20 and she was given a rectal dose of aspirin.", + "output": "The patient has a normal troponin." + }, + { + "input": "She was not symptomatic, so nothing was done urgently, but the plan was to proceed with the bronchoscopy and mediastinoscopy in order to obtain tissue for diagnosis. .", + "output": "Patient has normal mediastinoscopy." + }, + { + "input": "Ekg showed st-depressions v3-v5, transfused 1 unit prbcs with hct rise to 26.7, given 1l ns, repleted calcium/magnesium, levophed administered to maintain maps>60, lactate 4.0 - 5.0, r-a line placed.", + "output": "The ekg is normal." + }, + { + "input": "The trifurcation was occluded with reconstitution of he proximal peroneal artery.", + "output": "The patient has patent vessels." + }, + { + "input": "At [**hospital **] rehab she had persistent low blood pressures with systolic in the 60s, 70s and heart rate in the 80s.", + "output": "The patient is hypertensive." + }, + { + "input": "Also with nausea, one episode of nonbloody, nonbilious vomiting this morning.", + "output": "The patient has bilious vomiting." + }, + { + "input": "He developed respiratory distress shortly after birth and was admitted to the neonatal intensive care unit for evaluation and treatment.", + "output": "The patient is breathing normally." + }, + { + "input": "Congestive heart failure (ef in [**2955**] 40%) 2.", + "output": "Normal cardiac function." + }, + { + "input": "An iavp was placed and dobutamine and nitroglycerin drips were started and intravenous lasix was given.", + "output": "Normal cardiac function." + }, + { + "input": "Ct showed a bifrontal subarachnoid hemorrhage with interparenchymal blood and contusions in the frontal area with a large frontal bone fracture up to the suture line, with no visual external laceration.", + "output": "Patient has normal head ct exam." + }, + { + "input": "+n, v, and diaphoresis.", + "output": "The patient denies nausea." + }, + { + "input": "She was also recently diagnosed with pneumomia on [**2814-1-30**] and was started on levofloxacin as an outpatient.", + "output": "The patient had a normal x ray." + }, + { + "input": "Treated with flagyl.", + "output": "The patient is not on antibiotics." + }, + { + "input": "Hypertension 5. hyperlipidemia", + "output": "Patient has low blood pressure." + }, + { + "input": "Pupils are equal, round, and reactive to light.", + "output": "Patient has evidence of cranial nerve palsy." + }, + { + "input": "Urinalysis was positive for uti.", + "output": "The patient has clean urine." + }, + { + "input": "The mra demonstrated normal flow with lateral displacement of the cerebral branches secondary to mass affect.", + "output": "The patient has a normal brain." + }, + { + "input": "Pet at the end of treatment showed no fdg-avid disease.", + "output": "Patient has never had cancer." + }, + { + "input": "Report of a kidney tumor, details unavailable at this time copd", + "output": "The patient has a known diagnosis." + }, + { + "input": "He does take some medicines for his cough but does not know what they are.", + "output": "The patient does not have a cough." + }, + { + "input": "History of present illness: the patient is a 78 year-old female referred for an outpatient cardiac catheterization after a positive stress test and anginal symptoms.", + "output": "The patient denies recent chest pain." + }, + { + "input": "The patient had a syncopal episode at home on [**3381-9-6**].", + "output": "The patient has never lost consciousness." + }, + { + "input": "Her blood pressure is in the 110-120s systolic.", + "output": "She is hypertensive." + }, + { + "input": "He has had alcohol associated visual hallucinations and was experiencing these at [**hospital1 2003**].", + "output": "Patient does not use alcohol." + }, + { + "input": "4) bacillary angiomatosis 5) acute appendicitis deep into his nadir during transplant that was successfully treated with daptomycin, meropenem, levofloxain and metronidazole 6) incidental hhv6 igg-positive, without disease 7) hx of post chemo cardiomyopathy; tte [**6-3**] with preserved ef.", + "output": "The patient is immunocompetent." + }, + { + "input": "Lasix increased from 60 qam to 60 am/40 qpm.", + "output": "The patient has normal volume status." + }, + { + "input": "History of chronic atrial fibrillation status post cardioversion approximately two years ago.", + "output": "Patient has no history of arrythmia." + }, + { + "input": "Additionally, neurology recommended that an lp should be done and mri with stroke protocol, however she was just started on vanco/ceftriaxone/ampicillin and transferred here without an lp/mri.", + "output": "Patient has not been given iv antibiotics." + }, + { + "input": "He is currently just on cipro and is to complete a 14 day course for e. coli.", + "output": "He has no infection." + }, + { + "input": "No nausea, vomiting, fever, chills.", + "output": "Complains of emesis." + }, + { + "input": "He was admitted to the newborn nursery at 11 hours of life.", + "output": "Patient is unstable." + }, + { + "input": "She was externally paced in the 60's and transferred to [**hospital1 68**]. .", + "output": "Patient has normal sinus rhythm." + }, + { + "input": "The patient was febrile and sputum studies were planned.", + "output": "The patient\u2019s body temperature is normal." + }, + { + "input": "No obvious strabismus.", + "output": "The patient has strabismus." + }, + { + "input": "Left lung nodule thought to be amyloid skin ca.", + "output": "No masses seen in the lungs." + }, + { + "input": "Diagnosed [**3098**] with 5cm infiltrating ductal carcinoma of left breast, histologic grade iii with lvi.", + "output": "No history of breast cancer." + }, + { + "input": "She denies diarrhea, melena, or brbpr.", + "output": "Patient has hematochezia." + }, + { + "input": "S/p knee surgery [**25**]. up to date on flu and pneumovax shot, per patient", + "output": "No history of orthopedic problems." + }, + { + "input": "Seizure disorder four years ago.", + "output": "No history of seizures." + }, + { + "input": "Lgib - [**5-/2964**] - thought possible [**3-2**] to ischemic colitis 9.", + "output": "Patient has normal abdominal ct." + }, + { + "input": "Status post prostate surgery in the [**3260**].", + "output": "The patient has no surgical history." + }, + { + "input": "The patient on endoscopy of [**2-15**] was noted to have a clot adherent to the medial wall of the duodenum just distal to the bulb at the junction of the second part of the duodenum in proximity to the ampulla.", + "output": "The patient had a normal upper endoscopy." + }, + { + "input": "History of present illness: thirty-eight year old male with history of multiple medical problems including quadriparesis, decubitus ulcers, who presents with a low temperature.", + "output": "The patient is febrile." + }, + { + "input": "She states she has been home the last week convalescing for an \"e-coli\" infection, and hadn't been feeling all that well.", + "output": "The patient feels well." + }, + { + "input": "She received levofloxacin 500 mg iv and flagyl 500 mg iv x1. .", + "output": "She had no pain, fever, infection or indication for antibiotics." + }, + { + "input": "Cad, peripheral vascular disease, eczema, dm, chol, htn, cri, gerd, anemia", + "output": "No history of heart disease." + }, + { + "input": "Of note, about one week ago he felt well while exercising at the \"y\" - he was on the treamill for about 10-20 minutes.", + "output": "The patient is sedentary." + }, + { + "input": "[**known patient lastname 24761**] is a 26 y.o. female with resistant and progressive aml diagnosed [**2-2**].", + "output": "Patient has normal cbc." + }, + { + "input": "54 year old male with history of htn, hyperlipidemia, positive family history of cad who has left arm pain/soreness since evening of [**2564-11-15**].", + "output": "The patient has normal lipids." + }, + { + "input": "Patient has been on anticoagulation since [**2582**].", + "output": "Patient has normal coagulation profile." + }, + { + "input": "She then went back to sleep and awoke ~12:30-1am this morning.", + "output": "She is unresponsive." + }, + { + "input": "Mother was beta complete from an earlier admission at 25-5/7 weeks.", + "output": "The mother is in her first trimester." + }, + { + "input": "Urine and blood cultures were sent.", + "output": "No cultures were sent." + }, + { + "input": "Bp improved to 90s systolic.", + "output": "Patient has normal vital signs." + }, + { + "input": "Dementia history of rectal bleeding history of utis psoriasis depression h/o left eye droop", + "output": "Patient has a normal mmse." + }, + { + "input": "Initial ck was flat at 50, with troponin slightly elevated to 0.1, from a recent baseline around 0.8.", + "output": "Normal cardiac enzymes." + }, + { + "input": "The renal team was consulted for acute renal failure and acidosis.", + "output": "The patient has normal renal function." + }, + { + "input": "Prednisone 5 mg p.o. q.d.", + "output": "Patient has no medical condition." + }, + { + "input": "Uses albuterol mdi and nebs occasionally up to several times daily when trigger encountered, occasionally not at all.", + "output": "The patient denies shortness of breath." + }, + { + "input": "He denies fevers, chest pain, left arm or jaw pain, sweating, leg pain or swelling, and weight gain.", + "output": "The patient has lower extremity cellulitis." + }, + { + "input": "Psychiatry evaluated the patient and determined that she will require inpatient psychiatric treatment after her medical issues are resolved.", + "output": "The patient has no mental illness." + }, + { + "input": "Pt is a 50 y/o male with dm2, chf, copd, pul htn who was admitted to an osh with aflutter, devloped respiratory failure, and was transferred to [**hospital1 68**] for ongoing respiratory failure.", + "output": "Patient has normal blood glucose." + }, + { + "input": "High cholesterol 6.", + "output": "Cholesterol is within normal limits." + }, + { + "input": "Chest tubes were discontinued.", + "output": "The patient did not have intrathoracic lines." + }, + { + "input": "Hemorrhoidal bleeding 11.", + "output": "The patient has no rectal bleeding." + }, + { + "input": "Diagnosed at age 11, multiple hospitalizations for dka.", + "output": "The patient does not have an autoimmune condition." + }, + { + "input": "Prenatal screens included blood type o positive, antibody negative, hepatitis b surface antigen, rubella immune, rpr nonreactive, and group b strep negative.", + "output": "Blood type is a positive." + }, + { + "input": "History is difficult to obtain, as the patient is minimally conversive at baseline, but was not noted to have any coughing, vomiting, or diarrhea per report.", + "output": "Patient has hematemesis." + }, + { + "input": "Half an hour later, he became somnolent and not arousable to verbal stimuli or vigorous sternal rub.", + "output": "He remained alert and oriented x 3." + }, + { + "input": "Otherwise most of his home medications have been continued.", + "output": "Home medications were discontinued." + }, + { + "input": "Patient was treated with iv ciprofloxacin and stable on the omed service until the early am of [**2932-7-27**] when patient was found to be hypotensive to sbp 70s, hypothermic to 95, with a rising lactate of 4.2.", + "output": "The patient has no signs of infection." + }, + { + "input": "He was given amiodarone 150mg iv bolus x2 and started on an amiodarone gtt.", + "output": "The patient has normal heart rhythm." + }, + { + "input": "Rupture of membranes occurred at delivery with clear amniotic fluid.", + "output": "Amniotic fluid was meconium stained." + }, + { + "input": "Iron deficiency anemia.", + "output": "The patient has normal blood count." + }, + { + "input": "Heart rate decreased to the 140s with a blood pressure of 120/70.", + "output": "Heart rate was normal." + }, + { + "input": "Coronary artery disease, remote mi in his 40s in the setting of cocaine use - left main and two-vessel coronary disease diagnosed on cardiac cath from [**3157-9-2**] in the setting of non-st elevation mi (peak ck 190, mb 20, troponin t 4.5).", + "output": "No history of drug abuse." + }, + { + "input": "As she had never had a lung bx to definitively dx her disease she was transferred to [**hospital1 18**] for vats lung bx.", + "output": "Patient has no need for a biopsy." + }, + { + "input": "History of atrial fibrillation: ms.", + "output": "No history of arrhythmia." + }, + { + "input": "Cardiac history: cabg ([**2914**]) with anatomy: lima --> lad, svg --> om2, svg --> om3, svg to mid-rca jump to pda .", + "output": "The patient has a normal heart." + }, + { + "input": "History of present illness: the patient is a 59-year-old man, with a history of hepatitis c virus leading to end-stage liver disease, post necrotic cirrhosis with biopsy in [**2824-5-9**] that showed hcc without evidence of metastatic disease.", + "output": "No history of hepatic disease." + }, + { + "input": "She has metastatic disease to her lung, liver, and bones.", + "output": "She has no metastatic disease." + }, + { + "input": "This infant emerged with spontaneous cry and good tone.", + "output": "The infant was floppy with a poor tone." + }, + { + "input": "Ovarian cancer, diagnosed [**3121-9-3**], status post total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and ileocecectomy in [**3121-9-3**].", + "output": "Patient has an intact small and large bowel." + }, + { + "input": "[**age over 90 **] year old man with known cad, s/p bms to lad in [**3473**] and s/p bms to rca in [**3-/3478**] presents for cardiac catheterization.", + "output": "No history of previous cardiac stenting." + }, + { + "input": "No shortness of breath.", + "output": "The patient is sob." + }, + { + "input": "No shortness of breath.", + "output": "The patient." + }, + { + "input": "Corresponding hyperintense flair signal abnormality at these sites indicates that infarction is not hyperacute.", + "output": "The patient has a hyperacute infarct." + }, + { + "input": "A cxr was consistent with chf, with bnp 1090 and patient was given lasix 80 mg iv x1.", + "output": "The patient has normal cardiac function." + }, + { + "input": "The patient is a delightful 65 yo gentleman with stage t2n1 adenocarcinoma of the distal esophagus who underwent preoperative staging, including staging laparoscopy with placement of a jejunostomy tube and neoadjuvant chemoradiotherapy.", + "output": "The patient has squamous cell carcinoma." + }, + { + "input": "The nicu team was called stat, and arrived at around two minutes of life.", + "output": "The infant was stable and was placed on mother at two minutes of life." + }, + { + "input": "[**known patient firstname **] [**known patient lastname 22931**] is an 84- year-old male who presented to this institution for elective surgical treatment of bleeding 8-mm and 2.5-cm cecal polyps.", + "output": "The patient has no history of bleeding." + }, + { + "input": "The patient had old mris consistent with diffuse white matter disease and multiple lacunar infarcts.", + "output": "The patient has a normal brain mri." + }, + { + "input": "He was never hemodynamically unstable but given his large clot burden he was admitted to the ccu for monitoring.", + "output": "Patient has normal imaging findings." + }, + { + "input": "Patient taken off of dopamine before transfer to [**hospital1 **].", + "output": "The patient was continued on dopamine." + }, + { + "input": "Febrile to 100.3 two days prior to admission that resolved without intervention.", + "output": "The patient has no history of recent fever." + }, + { + "input": "However, this was immediately reduced and post-reduction, her foot remained warm with palpable distal pulses.", + "output": "The patient has had neuromuscular compromise." + }, + { + "input": "-status-post ascending aorta to descending aorta bypass graft with 18mm gelweave [**2540-1-20**] -repair of right ventricular laceration and sternal wound debridement [**2-1**] -coarctation of the distal arch s/p surgical repair of arch/desc. -aorta w/ homograft via left thoracotomy at age 13 -bicuspid aortic valve -congestive heart failure: most recent echo was tee [**2-12**] done after rv laceration repair, but at that time ef was >55% -hypercholesterolemia -psoriatic arthritis -osteoarthritis -asthma -sciatica -hemorrhoids -meckel's diverticulum s/p surgery -right lung nodule -s/p l2-l3, l4-l5 sacral fusion -s/p l subacromial decompression via arthroscopy -s/p appendectomy -s/p open cholecystectomy -s/p r inguinal hernia repair -s/p nasal surgery for deviated septum -s/p lens implants -h/o hit -recent mrsa pneumonia -h/o atrial fibrillation during hospitalization -h/o vre bacteremia (linezolid through [**2540-3-23**]) -recent mrse aortic graft infection -s/p open jejunostomy tube placement [**2540-2-15**] -s/p percutaneous tracheostomy [**2540-3-11**]", + "output": "No surgical history." + }, + { + "input": "History: ring-enhancing brain mass with edema seen on ct scan.", + "output": "Patient has normal brain parenchyma." + }, + { + "input": "She was taken to cesarean section because of the transverse lie of twin b.", + "output": "She delivered vaginally." + }, + { + "input": "On arrival to the micu his vitals were t 95.9 hr 89 bp 156/53 rr 15 100% 4lnc.", + "output": "Patient has normal vital signs." + }, + { + "input": "He has been followed with serial ultrasounds.", + "output": "He has received one ultrasound." + }, + { + "input": "His ua had bacteria, blood, tr leuks and some epis.", + "output": "The patient has a clean ua." + }, + { + "input": "Per report at nursing home, at 04:30 p.m. the [** location **]us day, the patient had an episode of chest pain and was given ativan, nitroglycerin and percocet.", + "output": "Patient has negative ros." + }, + { + "input": "She has done well since then and recently in [**3306**] she had increasing of shortness of breath, tiredness, weakness and had an exercise tolerance test, which was positive.", + "output": "She has normal cardiac function." + }, + { + "input": "He is cachectic, very limited in activity [**1-15**] fatigue, and has suffered several setbacks in his recovery including pna and cdiff colitis.", + "output": "The patient is in normal health." + }, + { + "input": "He reports ears ringing, seeing \"bubbles.\" he also reports mild abd pain and headache.", + "output": "The patient has no symptomatic complaints." + }, + { + "input": "The patient has been unable to tolerate rapid advancement in tube feeds secondary to increased nausea.", + "output": "The patient is tolerating tube feeds well." + }, + { + "input": "Prenatal laboratory data: o positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, gbs negative.", + "output": "She is colonized with group b strep bacteria." + }, + { + "input": "There is no reported shortness of breath at rest or paroxysmal nocturnal dyspnea or orthopnea or chest pain.", + "output": "The patient has chest pain." + }, + { + "input": "The ed explained the sepsis protocol to the patient, however, she and her family refused a central venous catheter.", + "output": "The patient consented to the placement of a central line." + }, + { + "input": "Denied cough, shortness of breath.", + "output": "The patient has severe pulmonary edema." + }, + { + "input": "At the time of presentation to an osh, his pain was constant, not relieved with advil or acetominophen, and he reports it as a [**9-1**].", + "output": "The patient denies pain." + }, + { + "input": "Coronary artery disease as noted [** location **]usly.", + "output": "No history of cardiac disease." + }, + { + "input": "Denies any lightheadedness, dizziness, chest pain.", + "output": "The patient." + }, + { + "input": "Prior to cath, was loaded with plavix.", + "output": "Normal cardiac function." + }, + { + "input": "The infant received apgars of 8 and 9.", + "output": "The patient has concerning apgars." + }, + { + "input": "In the postanesthesia care unit, the patient's blood pressure decreased to a systolic blood pressure of 78, and he spiked a fever to 101.7 degrees fahrenheit.", + "output": "In the pacu, the patient\u2019s vitals were within normal limits." + }, + { + "input": "She was hospitalized for a week, continued to have progressive dyspnea after this hospitalization.", + "output": "The patient denies shortness of breath." + }, + { + "input": "Pt now back to her presumed baseline in terms of mental status.", + "output": "The patient has continued altered mental status." + }, + { + "input": "P-mibi in [**5-/2965**] with slight worsening of partially reversible, moderate perfusion defects in the basilar anterolateral, mid anterolateral, basilar posterolateral, mid posterolateral, and lateral walls (entire lateral portion of the left ventricle).", + "output": "Patient has a normal nuclear cardiac scan." + }, + { + "input": "The patient has a history of thrombocytopenia.", + "output": "The patient has more than normal platelets." + }, + { + "input": "History: the patient was the 2.59 kilogram product of a 34-4/7 week gestation delivered by spontaneous vaginal delivery to a 29 year old primigravida.", + "output": "The patient has low birth weight." + }, + { + "input": "History of alcohol withdrawal with delirium tremens.", + "output": "The patient denies alcohol use." + }, + { + "input": "Atb treatment was switched to vancomycin, meropenem, fluconazole.", + "output": "No signs of infection." + }, + { + "input": "Remainder of ros is negative (except persistent cough productive of mild sputum since after vats, mild ruq tenderness), denies diarrhea, vomiting, dysuria, headache.", + "output": "The patient is asymptomatic." + }, + { + "input": "Found to have lll infiltrate and r sided pleural effusion.", + "output": "Patient has normal lungs on cxr." + }, + { + "input": "This scan obtained the night before his operation demonstrated nothing acute.", + "output": "The patient has appendicitis." + }, + { + "input": "In our ed, the pt was febrile to 101.2, with initial hr 100, bp 136/80.", + "output": "Patient has normal temperature." + }, + { + "input": "[**known patient lastname 37286**] is an 85 year old woman with a history of chronic blood loss anemia who endoscopically has been found to have a circumferential duodenal adenoma that is friable and bleeding.", + "output": "She has no small bowel tumors." + }, + { + "input": "History of present illness: the patient is a 56 year-old gentleman with a history of seizures who was transferred from [**hospital3 7022**] with a c spine injury, which occurred earlier in the day.", + "output": "The patient has a normal cervical spine." + }, + { + "input": "The patient had one first septal which was cannulated selectively into each of its branches and ethanol ablation was done under echocardiographic and fluoroscopic guidance.", + "output": "The patient has never had an endovascular procedure." + }, + { + "input": "He subsequently developed a right upper lobe infiltrate.", + "output": "His had no respiratory abnormalities or symptoms." + }, + { + "input": "Past medical history: none.", + "output": "Past medical history of diabetes." + }, + { + "input": "The patient was initially managed with plavix and lipitor.", + "output": "Patient has normal cholesterol." + }, + { + "input": "He states that he has frequent chest pain with minimal exertion or exposure to cold.", + "output": "Patient has no symptoms." + }, + { + "input": "Mother, is a 26 year-old, gravida i, para 0 woman with the following prenatal screens: blood group a positive, antibody screen negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, gbs positive.", + "output": "The mother is negative for group b strep." + }, + { + "input": "The pt was transferred to [**hospital1 22**] for further management. .", + "output": "The patient was kept at the same hospital." + }, + { + "input": "A ct scan of her abdomen and pelvis was performed, which revealed mild hydronephrosis on the left, as well as mild hydroureter nephrosis on the left with a 2 mm ureterovesical junction stone.", + "output": "The patient has no stones." + }, + { + "input": "At that time, her dopamine dose was decreased and she was started on levophed with aversion to normal sinus rhythm.", + "output": "No history of abnormal cardiac rhythm." + }, + { + "input": "Then while she was going to the local convenience store, she became acutely sob and tachycardic.", + "output": "The patient denies shortness of breath." + }, + { + "input": "Given ivfs without improvement.", + "output": "The patient responded to iv fluids." + }, + { + "input": "The patient was then referred to the cardiothoracic surgery service for coronary artery bypass graft surgery.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Cardiac enzymes done at osh showed ck 363, ck-mb 33, tropi 6.78.", + "output": "The patient has normal cardiac perfusion." + }, + { + "input": "This is a 57 year old man with a history of type 1 dm with many prior admissions for dka who presented to [**hospital1 52**] on [**10-1**] with elevated bg >600.", + "output": "Patient has negative pmh." + }, + { + "input": "History of squamous cell carcinoma, basal cell cancers, and melanoma 6. cabg", + "output": "The patient has no history of skin cancer." + }, + { + "input": "Alzheimer's dementia 2.", + "output": "No neurocognitive impairment." + }, + { + "input": "Reports orthopnea but no pnd.", + "output": "Patient has normal respiratory function." + }, + { + "input": "Sob now back to baseline.", + "output": "Patient has no dyspnea." + }, + { + "input": "Of note, she has had a significantly decreased a[** location **]e over the last year and reports a 25 pound weight loss during this time.", + "output": "She has gained weight in the last year." + }, + { + "input": "She denies chest pain, shortness of breath, pleuritic pain, fevers, chills, cough, diaphoresis, nausea, vomiting, or palpitations.", + "output": "The patient has all of the symptoms of a myocardial infarction." + }, + { + "input": "Per reports sister found the patient on sofa extremely lethargic.", + "output": "The patient is energetic." + }, + { + "input": "She also complained of a sore throat for the past two weeks with a sensation of pills sticking in her throat.", + "output": "The patient has a normal swallow." + }, + { + "input": "Per anesthesia resident, there was concern that the pt would be a diffficult intubation given body habitus.", + "output": "The patient has no concerns for intubation." + }, + { + "input": "Finger-to-nose was unstable, l>r.", + "output": "Patient has normal cerebellar function." + }, + { + "input": "He underwent preoperative evaluation and was cleared for surgery.", + "output": "He is not stable enough for surgery." + }, + { + "input": "He was then transfered to the [**hospital unit name 3**] for continued management of resp distress and pna. .", + "output": "The patient has normal respiratory function." + }, + { + "input": "Pt received vanc and levaquin in ed.", + "output": "The patient has not had antibiotics." + }, + { + "input": "Sputum grew esbl klebs susceptible only to meropenem; cefepime was changed to [**last name (un) 2785**] [**3-26**]. .", + "output": "The patient has no infection." + }, + { + "input": "She does report a history of similar headaches in the past, for many years, of which some were much worse than her present headaches.", + "output": "Her present headaches were described as \u201cworst headache of my life\u201d." + }, + { + "input": "She presented to [**hospital 70**] hospital with preterm labor on [**3021-10-7**].", + "output": "Her pregnancy is at term." + }, + { + "input": "S1, s2 normal, no murmur.", + "output": "The patient has severe aortic regurgitation." + }, + { + "input": "Emergent egd showed lots of blood in teh stomach, grade iv varices without ulcer, and a wheal on one varix.", + "output": "Patient has normal lfts." + }, + { + "input": "History of present illness: baby girl [**known patient lastname **] is the 2.77 kg product of a 37 and [**2-14**] week twin gestation, admitted to the neonatal intensive care unit for evaluation of prenatal diagnosis of possible coarctation and trisomy-21.", + "output": "The patient had a normal prenatal course." + }, + { + "input": "Also found to have 90% in-stent restenosis of lad stent.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Pmd switched hctz from 25 mg [**hospital1 **] to 25 mg qd, and added enalapril 5 mg qd.", + "output": "The patient is on no medications." + }, + { + "input": "There, he was afebrile hr 124, bp 118/88.", + "output": "He had a fever." + }, + { + "input": "Cerebral aneurysm which was clipped in [**3112**] resulting in an inability to remember short term memory.", + "output": "The patient has no problems with memory." + }, + { + "input": "Partial left [**3130**]. - s/p hysterectomy [**3134**] - s/p nasal embolization for refractory epistaxis [**6-28**] - lower gi bleed secondary to high grade colonic adenoma s/p biopsy (but not resection) [**10/3170**]", + "output": "Patient has not had prior interventions." + }, + { + "input": "On the floor, the patient is responsive to painful stimuli only.", + "output": "The patient is alert and oriented." + }, + { + "input": "There he was seen to be bradycardic to the low 50s and somnolent.", + "output": "He has a rapid heart rate." + }, + { + "input": "His ecg revealed ?", + "output": "The patient has not had an electrocardiogram." + }, + { + "input": "Rupture of membranes occurred at delivery yielding clear amniotic fluid.", + "output": "Amniotic fluid was stained with meconium." + }, + { + "input": "Patient brought from nursing home with about 20 minutes of respiratory distress with saturation into the 60% on ra.", + "output": "Patient has normal vital signs." + }, + { + "input": "The patient was subsequently seen by cardiology in the emergency room and an echocardiogram was done, and his ischemia was felt to be consistent with demand ischemia.", + "output": "The patient denied chest pain, discomfort, or history of cardiac disease." + }, + { + "input": "He has also had tachypnea, without any symptoms of shortness of breath.", + "output": "Patient has normal physical exam." + }, + { + "input": "A cxr revealed rll and rul infiltrates, and his wbc count was 13.2 with mild l shift.", + "output": "White blood cell count was normal." + }, + { + "input": "She reports coming home and finding her husband on the floor awake but incoherent, dried blood on his body.", + "output": "She found her husband alert and oriented." + }, + { + "input": "The lad lesion was stented with a bms.", + "output": "The patient has normal coronary arteries." + }, + { + "input": "He was then referred for coronary bypass grafting", + "output": "The patient has a normal heart." + }, + { + "input": "Ventral hernia not repaired.", + "output": "The patient is status post ventral hernia repair." + }, + { + "input": "Pt is a 62 yo male with hypertension, hypercholesterolemia and family history who presents after having an abnormal stress test showing inferior defect.", + "output": "Patient has normal hdl and ldl." + }, + { + "input": "Pt unable to answer questions, unable to assess for ros. .", + "output": "Patient provided history adequately." + }, + { + "input": "This pregnancy was complicated by polyhydramnios.", + "output": "Patient has normal us findings." + }, + { + "input": "According to the patient's wife these symptoms had been getting progressively worse over the past 3 weeks.", + "output": "The patient has been improving over the past few weeks." + }, + { + "input": "Hypertension prostate ca pacemaker [**3251-5-26**] s/p tia s/p syncope s/p occipital craniotomy s/p appendectomy", + "output": "The patient has no medical history." + }, + { + "input": "He was started on ampicillin and gentamicin after blood culture was obtained.", + "output": "He received no antibiotics." + }, + { + "input": "Ai, 3+tr, an av peak gradient of 123mmhg, severe pulm htn and and lvef of 60%.", + "output": "Patient has no tricuspid regurgitation." + }, + { + "input": "He also has chronic venous stasis.", + "output": "He has normal venous function." + }, + { + "input": "61 yo f with cad, chf ef 30%, esrd s/p transplant, now failed who presents with pulmonary edema, aocrf and need for dialysis.", + "output": "Patient has normal electrolytes." + }, + { + "input": "The patient self-extubated on [**3079-3-28**].", + "output": "The patient was extubated by the clinical team." + }, + { + "input": "After being discharged [**10-21**] for mssa sepsis thought to be [**3-6**] hd line infection pt was sent to rehab.", + "output": "Patient has no bacteremia." + }, + { + "input": "She does daily alcohol dwells to prevent infection.", + "output": "The patient odes not have iv access." + }, + { + "input": "At that time, she was given additional dexamethasone and phenytoin per her neurosurgeon.", + "output": "The patient was not given any medications." + }, + { + "input": "He also admits to having been exposed to asbestos as a former shipyard worker for 10 years 20 years ago.", + "output": "He has had no contact with asbestos." + }, + { + "input": "Pt was transferred for further evaluation of this. .", + "output": "The patient has no medical problems." + }, + { + "input": "His pressor was changed to phenylephrine, and his mean arterial pressures were 70 to 80s.", + "output": "The patient is hypertensive." + }, + { + "input": "56 male with pmh recently diagnosed small cell lung carcinoma with metastases to bone and liver, s/p chemo last week (cisplatin/etoposide) admitted to [**hospital unit name 69**] for closer monitoring of electrolytes and fluid status in setting of arf.", + "output": "The patient has a normal creatinine." + }, + { + "input": "He describes it as diffuse.", + "output": "He has focal pain in the right upper quadrant." + }, + { + "input": "She finally underwent mrd-allo-sct on [**2734-6-8**] for recurrent disease.", + "output": "She had no recurrent disease." + }, + { + "input": "On arrival to the emergency department he had a blood pressure of 43/25, heart rate of 70, aggressive fluid hydration was given as well as 2 units of packed red blood cells.", + "output": "The patient is hypertensive." + }, + { + "input": "This patient was complicated by preterm premature rupture of membranes of sibling, less than 24 hours prior to delivery and preterm labor.", + "output": "The patient delivered at term." + }, + { + "input": "He was diaphoretic on exertion but denies cp/sob/ha/n/v/d/abdominal pain.", + "output": "Patient is comfortable." + }, + { + "input": "[**3334**] units of heparin were administered.", + "output": "No anticoagulants were given." + }, + { + "input": "84 yo m with pmh of htn, hyperparathyroidism and h/o prostate ca s/p prostatectomy who presents s/p syncope to the ed.", + "output": "The patient has never had surgery before." + }, + { + "input": "Small right-sided pleural effusion persists as well.", + "output": "Patient has normal cxr." + }, + { + "input": "He was seen by his primary care physician last week because of shortness of breath.", + "output": "He has no history of difficulty breathing." + }, + { + "input": "Past medical history: hypertension.", + "output": "The patient has normal blood pressure." + }, + { + "input": "Past medical history: hypertension.", + "output": "Patient has normal vital signs." + }, + { + "input": "Past medical history: hypertension.", + "output": "Patient has no pmh." + }, + { + "input": "Past medical history: hypertension.", + "output": "Normal blood pressure." + }, + { + "input": "His last drink occurred four days ago.", + "output": "Patient has drank alcohol." + }, + { + "input": "The patient was neurologically intact throughout the case.", + "output": "The patient developed neurological deficits during the procedure." + }, + { + "input": "Maintained on sotalol, coumadin, followed by dr. [**last name (stitle) 1886**].", + "output": "Normal cardiac function." + }, + { + "input": "In the ed her vitals were as follows t98 hr 72 bp 157/72 r17 o2sat 96%ra.an ngl was done and cleared after 600cc.", + "output": "She is hypotensive." + }, + { + "input": "She has no complaints other than \"stop bothering me, leave me alone\".", + "output": "She complains of suicidal ideation." + }, + { + "input": "He was referred for coronary artery bypass grafting to dr. [**first name (stitle) **] [**name (stitle) **], at that time.", + "output": "Patient has normal coronary arteries." + }, + { + "input": "Synthroid 50 mcg once per day.", + "output": "The patient is hyperthyroid." + }, + { + "input": "S/p intubation on ac 450x22, fio2 50%, peep 5, mv 8.7 - abg 7.49/30/145.", + "output": "Patient is on room air." + }, + { + "input": "History of present illness: the patient is a 75 year old female with a past medical history of hypertropic obstructive cardiomyopathy who presented today for percutaneous intervention to ablate the ventricular septum.", + "output": "The patient has normal heart morphology." + }, + { + "input": "1 prior suicide attempt in [**2931**] (slit wrists).", + "output": "The patient has never attempted suicide." + }, + { + "input": "Most recently patient was discharged from [**hospital1 4**] on [**2793-11-12**] with what was thought to be copd flare and aspiration pneumonia.", + "output": "The patient was treated as an outpatient." + }, + { + "input": "A head computed tomography showed a left subdural hematoma with a midline shift.", + "output": "Patient has a negative head ct." + }, + { + "input": "He was delivered at 34 weeks gestation, twin 2, due to polyhydramnios as well as evolving maternal pih.", + "output": "The pregnancy was a single gestation." + }, + { + "input": "-breast cancer, diagnosed in [**3134**]; bilateral with metastases to lymph nodes, s/p lumpectomy, local radiation and 5fu/adriamycin -osteoarthritis -s/p r-knee and l-hip replacement ([**3141**]) -atrial fibrillation -rheumatoid arthritis -h/o adriamycin-induced cardiomyopathy -ulcerative colitis, s/p ileostomy -restrictive lung disease (related to radiation and/or amiodarone) -dilated cardiomyopathy", + "output": "No history of cancer." + }, + { + "input": "Htn gerd mvp palpitations (since she was a young woman)", + "output": "Patient has no pmh." + }, + { + "input": "At [**hospital3 3547**] ed she received solumedrol 125mg once, sasix 20mg iv once, zosyn 1 dose.", + "output": "The patient has clear lungs." + }, + { + "input": "He underwent cardiac catheterization here and was found to have a 90% sequential in-stent restenosis of his saphenous vein graft to the first obtuse marginal.", + "output": "The patient has a normal heart." + }, + { + "input": "Electively intubated for resp distress/hypoxia, given lopressor for htn, solumedrol 125 mg, tequin 400 mg.", + "output": "The patient had no difficulty breathing." + }, + { + "input": "Started on meropenem.", + "output": "The patient has no evidence of infection." + }, + { + "input": "No nausea, diaphoresis.", + "output": "There is nausea." + }, + { + "input": "Status post gastrojejunostomy tube.", + "output": "The patient has no feeding tube." + }, + { + "input": "Labs significant for wbc 13.9, na 159, cr 1.9, trop 0.79, ck 227, lactate 2.7.", + "output": "Patient has normal lab values." + }, + { + "input": "He was transferred from [**hospital3 **] to [**hospital1 68**] for cath which showed the following: right-dominant system lmca 90% ostial lesion, heavily calcified lad 90% proximal-mid after high diagonal moderate ramus lcx totally occluded rca totally occluded mid lesion, collaterals to ramus svg -> rca patent, om patent lima->lad occluded, very small vessel distally and lad not visualized through lima lvedp 16 cypher to left main, unable to deploy taxus to lad with resulting major dissection and thus bare metal stent to the lad to cover the dissection", + "output": "No evidence of cardiac disease." + }, + { + "input": "She received lasix 40 mg iv and was started on a nitroglyercin drip which was later discontinued when respiratory status immproved on bipap.", + "output": "The patient is not receiving medication." + }, + { + "input": "In early [**3444**] he developed a mass on his l hip that was biopsy proven to be a hematoma, without malignant cells.", + "output": "Patient has malignancy." + }, + { + "input": "[**age over 90 **] yo portugues speaking male with type ii dm, htn, hyperlipidemia, and temporal arteritis (on prednisone taper started on [**2835-10-5**]) who presents to the ed with worsening cough x 4 days, generalized weakness for 10 days with blood sugars to 850s. .", + "output": "Patient has no chronic medical conditions." + }, + { + "input": "On arrival pt noted ongoing back pain.", + "output": "The patient denies pain." + }, + { + "input": "She does not remember the events surrounding her admission.", + "output": "She was alert and oriented during her admission." + }, + { + "input": "He denies chest pain of syncope.", + "output": "The patient is having acute chest pain." + }, + { + "input": "Cxr and ct head were unremarkable.", + "output": "The patient has an abnormal head ct." + }, + { + "input": "No recent med changes. .", + "output": "Recently discontinued her medications." + }, + { + "input": "No other new events.", + "output": "Several additional events occurred." + }, + { + "input": "The fetal well being was reassuring with normal biophysical profile.", + "output": "Biophysical profile was abnormal." + }, + { + "input": "Past medical history: gastroesophageal reflux disease.", + "output": "The patient has never had symptoms of reflux or dyspepsia." + }, + { + "input": "He also had maroon melena stool approximately 200 cc approximately two times.", + "output": "Patient has normal stool." + }, + { + "input": "60 f with history of lung ca s/p lul resection and nonadjuvant theraphy [**6-13**] and breast ca s/p lumpectomy in [**2665**] who presents with progressively worse shortness of breath for 5 days.", + "output": "She has no history of cancer." + }, + { + "input": "Left circumflex was occluded.", + "output": "Coronary arteries are patent." + }, + { + "input": "Non contrast c spine and head ct were negative.", + "output": "The patient has a significant brain bleed." + }, + { + "input": "Breast ca, [**3481**], t1n0m0, ln neg, er pos, her2/neu neg, on arimidex 12.", + "output": "The patient had positive axillary lymph nodes." + }, + { + "input": "The patient was referred to dr. [**first name (stitle) **] [**last name ([** location **]es) **] for questionable root replacement versus bentall procedure.", + "output": "The patient has no consideration for surgery." + }, + { + "input": "No cough, hemoptysis, uri symptoms.", + "output": "Patient has cough." + }, + { + "input": "The patient was able to maintain his oxygen saturations on nasal cannula; although, arterial blood gases during the intensive care unit stay showed persistent hypercarbia of unclear etiology.", + "output": "The patient is hypoxic." + }, + { + "input": "She had a negative head computed tomography.", + "output": "Head ct showed a subdural hematoma." + }, + { + "input": "Per the daughter's knowledge, she has had no seizures in years and has never taken any antiepileptic drugs.", + "output": "Patient takes antiepileptic medications." + }, + { + "input": "Afib/flutter s/p tte cardioversion [**3-/2808**], ablation.", + "output": "The patient has never been cardioverted." + }, + { + "input": "Mediastinal hematoma with cardiac tamponade", + "output": "No abnormality found in the chest." + }, + { + "input": "Pt says he tried to stand up and could not, and that was the only event that he can describe.", + "output": "Patient has normal strength." + }, + { + "input": "The baby was transported to the nicu on blow-by oxygen.", + "output": "The patient did not need oxygen supplementation." + }, + { + "input": "In the ed the pt was 95.0 96 105/57 18 100% 4l nasal cannula.", + "output": "The patient was febrile." + }, + { + "input": "On transfer the patient is currently receiving vancomycin and unasyn for broad spectrum cutaneous coverage with plan for placement of picc line for extended course of iv abx given persistent leg erythema and leukocytosis.", + "output": "The patient does not have an infection." + }, + { + "input": "No organomegaly or masses.", + "output": "Splenomegaly felt on exam." + }, + { + "input": "Past 2 yrs has had only 1 other ed visit for asthma flare prior to last week.", + "output": "Patient has normal pulmonary function tests." + }, + { + "input": "The patient is a former smoker, quit 30 years ago.", + "output": "The patient continues to smoke." + }, + { + "input": "On the way, she received narcan.", + "output": "Patient is alert." + }, + { + "input": "The family decided to provide comfort measures only and the patient expired shortly after.", + "output": "The patient was treated and discharged home." + }, + { + "input": "L medial temporal avm extending into the lateral ventricle.", + "output": "No history of abnormalities in the brain." + }, + { + "input": "By [**6-27**], the patient's symptoms deteriorated and she presented to the ed. .", + "output": "The patient had no symptoms." + }, + { + "input": "There is a small amount of free fluid within the pelvis and along the inferior pole of the liver.", + "output": "The patient has no free fluid." + }, + { + "input": "He was then taken to [**hospital6 1789**] where he was treated with a dilantin load prior to tranfer to [**hospital1 58**].", + "output": "The patient has no history of seizure." + }, + { + "input": "Coronary artery disease status post myocardial infarction 12 years ago.", + "output": "Patient has normal coronary angiogram." + }, + { + "input": "Pt alsmost fainted when got in shower today and went to ed had head ct bilateral fluid collection.", + "output": "Patient has negative ros." + }, + { + "input": "He was referred to the emergency room the next morning.", + "output": "The patient has no complaints." + }, + { + "input": "Prenatal screens: o positive, coombs negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune.", + "output": "Syphilis screening positive." + }, + { + "input": "Flexes to pain in all extremities.", + "output": "The patient is not able to react to pain." + }, + { + "input": "Pt was eventually stable on 2l.", + "output": "The patient is on room air." + }, + { + "input": "Here she was noted to follow simple comands but was combative prompting sedation and intubation.", + "output": "She was alert and oriented x 3." + }, + { + "input": "Type ii diabetes o2-dependent copd h/o pancreatic pseudocyst s/p ccy psoriasis alcohol abuse", + "output": "The patient has a normal blood glucose." + }, + { + "input": "Patient admitted to micu for further eval and tx for dyspnea.", + "output": "The patient denies shortness of breath." + }, + { + "input": "This infant emerged vigorous with apgars of 8 and 9.", + "output": "Patient is not healthy." + }, + { + "input": "Prednisone was started secondary to the patient's low pao2.", + "output": "Oxygen saturation was 100%." + }, + { + "input": "The sacral lesion was wrapped with sterile saline-soaked clingpads and saran wrap.", + "output": "The patient has no wounds." + }, + { + "input": "She is now saturating to high 90s % on room air, without nasal cannula.", + "output": "The patient requires high flow nasal cannula." + }, + { + "input": "H/o multiple pe - on coumadin 16.", + "output": "The patient is at a low risk of bleeding." + }, + { + "input": "Patient was guiac negative, ng lavage was negative, and iv heparin with no bolus was initiated.", + "output": "The patient has a gi bleed." + }, + { + "input": "During her admission, she experienced a fever to 102 and work up was started.", + "output": "The patient was afebrile." + }, + { + "input": "The patient has been abstaining from alcohol since [**3344**].", + "output": "The patient drinks 1-2 alcoholic drinks per day." + }, + { + "input": "Pmh: hypertension, diabetes mellitus", + "output": "The patient has normal blood sugar control." + }, + { + "input": "History of present illness: this is a 56-year-old male with a history of coronary artery disease and coronary artery bypass graft in [**3025**] who was sent from [**hospital1 **] psychiatric hospital with shortness of breath.", + "output": "The patient has no symptoms of a chf exacerbation." + }, + { + "input": "Bp increased from 130/82 to 160/88 and he developed [**3-12**] left sided chest discomfort in recovery.", + "output": "The patients blood pressure remained normal." + }, + { + "input": "Pancytopenia, status post bone marrow biopsy showing mds versus sideroblastic anemia 8.", + "output": "Patient has normal cbc." + }, + { + "input": "Repeat echo revealed worsening as.", + "output": "Patient has normal aortic vlavge." + }, + { + "input": "Pt initally admitted to osh with complaints of increased chest discomfort at rest.", + "output": "The patient has no symptoms concerning for a myocardial infarction." + }, + { + "input": "At the osh he received a total of 9l of fluid and 3u prbcs and he was transferred to [**hospital1 22**].", + "output": "The patient has not received any fluid." + }, + { + "input": "Osa on bipap 4. hydrocele", + "output": "Patient has normal breathing." + }, + { + "input": "[**known patient lastname 19018**] is a 71 year-old woman with a history of copd (fev1 35% 03/09), with frequent exacerbations, on 2l home o2 and a history of diastolic dysfunction.", + "output": "The patient has normal lung function." + }, + { + "input": "74yo man with h/o cad, dm2, a fib, htn, hyperlipidemia, and recent episode of bronchitis presented with two days of worsening dyspnea.", + "output": "The patient denies shortness of breath." + }, + { + "input": "Chf w/ ef 35% in [**12-9**] #.", + "output": "Normal cardiac function." + }, + { + "input": "History of present illness: the patient is a 17 year-old female with no significant past medical history who was brought in by med flight to the [**hospital1 1499**] on [**2997-10-16**].", + "output": "The patient is considered elderly." + }, + { + "input": "Ct here showed a possible pituitary hemorrhage.", + "output": "The patient had a normal ct." + }, + { + "input": "Since discharge, she has been on bedrest and treated with nifedipine and admitted on day of delivery with preterm contractions and premature rupture of membrane.", + "output": "The patient is not pregnant." + }, + { + "input": "She was comfortable appearing.", + "output": "She was in acute respiratory distress." + }, + { + "input": "Past medical history: status post hysterectomy 13 years ago for fibroids.", + "output": "Patient has not had surgery." + }, + { + "input": "Cardiac history: -cabg: -percutaneous coronary interventions: [**2605**] rca stent pre-op for avr [**4-/2606**] avr last cardiac cath [**8-/2610**] showed patent rca stent without significant l coronary dx .", + "output": "The patient has normal coronary arteries." + }, + { + "input": "Was given vanco and zosyn and 1 u ffp and 1 u prbcs.", + "output": "The patient has a normal blood count." + }, + { + "input": "Referred for cath which revealed 3 vessel disease.", + "output": "The patient has no cardiac disease." + }, + { + "input": "Past medical history: history of vesicoureteral reflux with end stage renal disease, status post renal transplant in [**2635**], x2.", + "output": "The patient has normal native kidneys." + }, + { + "input": "He had bleeding from a laceration in the back of his scalp.", + "output": "The patient has no evidence of trauma." + }, + { + "input": "The patient denies lightheadedness or dizziness, abdominal pain.", + "output": "The patient has a ruptured appendix." + }, + { + "input": "No pneumothorax is noted.", + "output": "Patient has a large pneumothorax." + }, + { + "input": "In the ed, 96.9 96/57 130 20 98% 2l.", + "output": "Hypertensive." + }, + { + "input": "Now undergoes peritoneal dialysis 3 times per day 3. s/p stroke in 8/98 with no residual deficit 4.", + "output": "The patient has normal kidney function." + }, + { + "input": "History of present illness: the patient is a delightful 67- year-old woman with multiple medical problems who is severely obese who for the past month prior to admission has been developing some dysphagia.", + "output": "The patient has no symptoms." + }, + { + "input": "Currently, pt alert but not oriented. follows commands. denies pain, headache, cp/sob/dizzy, abd pain/n/v.", + "output": "The patient complains of chest pain and difficulty breathing." + } + ] +} \ No newline at end of file