CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname **] is a 65-year-old
man who was driving in his car when he hit a tree head-on.
It is unknown whether a cardiac event had preceded the
accident because a witness reported that the patient's eyes
rolled back in his head prior to the accident.  The patient
was extracted from the vehicle with loss of pulse.  He was
defibrillated and found to be asystolic.  While they were
preparing to intubate the patient he regained consciousness
and was transferred to BIMDC.

MEDICAL HISTORY: 1.  History of CHF.
2.  Type 2 diabetes mellitus.
3.  Psoriasis.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient lived alone in [**Location (un) 86**].  His
brother, [**Name (NI) **] [**Name (NI) **], and [**Name (NI) 2013**] had been in to see the
patient occasionally.
Subendocardial infarction, initial episode of care,Ventricular fibrillation,Congestive heart failure, unspecified,Methicillin susceptible pneumonia due to Staphylococcus aureus,Cardiogenic shock,Other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle
Subendo infarct, initial,Ventricular fibrillation,CHF NOS,Meth sus pneum d/t Staph,Cardiogenic shock,Oth coll stndng obj-driv
Admission Date:  [**2126-2-21**]     Discharge Date:  [**2126-4-1**]

Date of Birth:                  Sex:

Service:  MEDICAL INTENSIVE CARE UNIT

HISTORY OF THE PRESENT ILLNESS:  Mr. [**Known lastname **] is a 65-year-old
man who was driving in his car when he hit a tree head-on.
It is unknown whether a cardiac event had preceded the
accident because a witness reported that the patient's eyes
rolled back in his head prior to the accident.  The patient
was extracted from the vehicle with loss of pulse.  He was
defibrillated and found to be asystolic.  While they were
preparing to intubate the patient he regained consciousness
and was transferred to BIMDC.

While en route, he was intubated for airway protection.
Abdominal and head CT showed multiple rib fractures.  He also
had sustained a laceration to his head.  He was admitted to
the Surgical Intensive Care Unit for further management.
However, after it was noted that his surgical needs were not
operable, he was transferred to Medicine.

PAST MEDICAL HISTORY:
1.  History of CHF.
2.  Type 2 diabetes mellitus.
3.  Psoriasis.

ALLERGIES:  The patient has no known drug allergies.

ADMISSION MEDICATIONS:
1.  Digoxin.
2.  Lasix.
3.  Insulin.

SOCIAL HISTORY:  The patient lived alone in [**Location (un) 86**].  His
brother, [**Name (NI) **] [**Name (NI) **], and [**Name (NI) 2013**] had been in to see the
patient occasionally.

HOSPITAL COURSE:  The patient was unresponsive during his
stay in the Medical Intensive Care Unit for two months.  He
had numerous Intensive Care Unit related infections and
difficulty weaning from the ventilator.  After approximately
greater than a month in the Intensive Care Unit and failure
to wean the patient from the ventilator and off numerous
pressors including persistent congestive heart failure, the
patient's brother and sister agreed to make the patient [**Name (NI) 3225**].

The patient was withdrawn from care and died on [**2126-4-1**]
at 8:11 p.m.

DISCHARGE DIAGNOSIS:
1.  Motor vehicle accident.
2.  Congestive heart failure.
3.  Sepsis.
4.  Respiratory arrest.





                          [**Name6 (MD) **] [**Name8 (MD) **], M.D.  [**MD Number(1) 968**]

Dictated By:[**Name8 (MD) 24585**]

MEDQUIST36
D:  [**2126-9-20**]  14:57
T:  [**2126-9-22**]  11:04
JOB#:  [**Job Number 38775**]
{'Subendocardial infarction, initial episode of care,Ventricular fibrillation,Congestive heart failure, unspecified,Methicillin susceptible pneumonia due to Staphylococcus aureus,Cardiogenic shock,Other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname **] is a 65-year-old
man who was driving in his car when he hit a tree head-on.
It is unknown whether a cardiac event had preceded the
accident because a witness reported that the patient's eyes
rolled back in his head prior to the accident.  The patient
was extracted from the vehicle with loss of pulse.  He was
defibrillated and found to be asystolic.  While they were
preparing to intubate the patient he regained consciousness
and was transferred to BIMDC.

MEDICAL HISTORY: 1.  History of CHF.
2.  Type 2 diabetes mellitus.
3.  Psoriasis.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient lived alone in [**Location (un) 86**].  His
brother, [**Name (NI) **] [**Name (NI) **], and [**Name (NI) 2013**] had been in to see the
patient occasionally. 

### Response:
{'Subendocardial infarction, initial episode of care,Ventricular fibrillation,Congestive heart failure, unspecified,Methicillin susceptible pneumonia due to Staphylococcus aureus,Cardiogenic shock,Other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle'}
