CHIEF COMPLAINT: 

PRESENT ILLNESS: [**Known lastname 916**] [**Known lastname **] is a former 1.99
kilogram product of a 33-4/7-weeks gestation pregnancy born
to a 42-year-old G1, P0 woman. Prenatal screens: AB positive, Ab
neg, RI, RPR NR, HBSAg neg, GBS unknown.
This was an IVF conceived pregnancy. EDC was [**2103-5-12**].
The pregnancy was noted initially to be a twin gestation with
a spontaneous reduction at approximately 6 weeks of
gestation.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other preterm infants, 1,750-1,999 grams,Neonatal jaundice associated with preterm delivery,Transitory tachypnea of newborn,Routine or ritual circumcision,Observation for suspected infectious condition,Need for prophylactic vaccination and inoculation against viral hepatitis
Preterm NEC 1750-1999g,Neonat jaund preterm del,NB transitory tachypnea,Routine circumcision,NB obsrv suspct infect,Need prphyl vc vrl hepat
Admission Date: [**2103-3-27**]        Discharge Date: [**2103-4-13**]

Date of Birth:  [**2103-3-27**]        Sex:  M

Service:  NB


HISTORY OF PRESENT ILLNESS:  [**Known lastname 916**] [**Known lastname **] is a former 1.99
kilogram product of a 33-4/7-weeks gestation pregnancy born
to a 42-year-old G1, P0 woman. Prenatal screens: AB positive, Ab
neg, RI, RPR NR, HBSAg neg, GBS unknown.
This was an IVF conceived pregnancy. EDC was [**2103-5-12**].
The pregnancy was noted initially to be a twin gestation with
a spontaneous reduction at approximately 6 weeks of
gestation.

Mother's medical history is significant for asthma treated
with Flovent and albuterol. Pregnancy was complicated by a
viral upper respiratory infection noted over the last month
prior to delivery. She had elevated blood pressure. Was
monitored closely on  the day of delivery. The mother had a
headache and a blood pressure of 173/80 mmHg. She was treated
with magnesium sulfate, betamethasone, and bed rest. The
fetus was noted to have a biophysical profile of [**3-18**] and then
[**5-18**] with reduced fetal heart rate variability leading to
elective cesarean section delivery. The infant was born by
cesarean section under spinal anesthesia. There were no
sepsis risk factors. Apgars were 9 at 1 minute and 9 at 5
minutes. He was initially stabilized in the neonatal
intensive care unit at the [**Hospital1 **], but was
subsequently transferred to [**Hospital3 1810**] due to bed
unavailability.

He returned to the [**Hospital1 **] [**First Name (Titles) **] [**2103-3-29**],
day of life 2. Birth parameters were a birth weight of 1.99
kilograms, 50th percentile; length 44 cm, 40th percentile;
head circumference 30 cm, 25th percentile.

PHYSICAL EXAMINATION AT THE TIME OF DISCHARGE:  Weight 2.205
kilograms (25th percentile), length 47 cm (50th percentile),
head circumference 32 cm (25th-50th percentile). A
nondistressed infant in room air. Clear equal breath sounds.
No murmur. Normal pulses. Abdomen: Soft without distention or
masses. Circumcised male with healing. No oozing or drainage.
Moving all extremities with normal tone. Alert, active,
normal cry, symmetric reflexes.

HOSPITAL COURSE BY SYSTEMS INCLUDING PERTINENT LABORATORY
DATA:
1.  Respiratory: [**Known lastname 916**] required oxygen for the 1st 24 hours of
    life. He was initially noted to be tachypneic which
    resolved. Also over the 1st 24 hours of life, his
    respiratory symptoms were consistent with transient
    tachypnea of the newborn. At the time of discharge, he is
    in room air breathing comfortably. He has not had any
    episodes of spontaneous apnea.
2.  Cardiovascular: [**Known lastname 916**] has maintained normal heart rates
    and blood pressures. No murmurs have been noted. Baseline
    heart rate is 140-160 beats per minute with a recent
    blood pressure of 72/42 mmHg and mean arterial pressure
    of 52 mmHg.
3.  Fluid, electrolytes, and nutrition: [**Known lastname 916**] was initially on
    intravenous fluids. Enteral feeds were started on day of
    life #1 and gradually advanced to full volume. He has
    been all p.o. feeding for the 48 hours prior to
    discharge. He has been discharged home on breast milk 24
    calories per ounce fortified with Similac powder.
4.  Infectious disease: Due to unknown group B strep of his
    mother, [**Name (NI) 916**] was evaluated for sepsis upon admission to
    the neonatal intensive care unit. A blood culture was
    obtained prior to starting intravenous ampicillin and
    gentamicin. A complete blood count was within normal
    limits. The blood culture was no growth at 48 hours, and
    the antibiotics were discontinued.
5.  Gastrointestinal: [**Known lastname 916**] required treatment for
    unconjugated hyperbilirubinemia with phototherapy. His
    most recent serum bilirubin was on [**2103-4-5**], day of
    life 9, with a total of 10.1 mg per deciliter.
6.  Hematological: Hematocrit at birth was 50%. [**Known lastname 916**] did not
    receive any transfusions of blood products.
7.  Neurology: [**Known lastname 916**] has maintained a normal neurological exam
    during admission. There are no neurological concerns at
    the time of discharge.
8.  Sensory: Audiology: Hearing screening was performed with
    automated auditory brainstem responses. [**Known lastname 916**] passed in
    both ears on [**2103-4-12**].
9.  Psychosocial: Parents have been very involved with [**Known lastname **]
    care and have visited frequently.

CONDITION AT DISCHARGE:  Good.

DISCHARGE DISPOSITION:  Home with the parents.

PRIMARY PEDIATRICIAN:  Dr. [**First Name8 (NamePattern2) 3742**] [**Last Name (NamePattern1) 1557**], [**First Name3 (LF) 6930**] Pediatric
Care, [**Street Address(2) 69256**], [**Hospital1 6930**], [**Numeric Identifier 69257**]. Phone
number ([**Telephone/Fax (1) 71928**].

CARE AND RECOMMENDATIONS AT THE TIME OF DISCHARGE:
1.  Feeding: Ad-lib breastfeeding or p.o. feeding breast milk
    fortified to 24 calories per ounce with Similac powder.
2.  Medications: Ferrous sulfate 25 mg per mL, 0.2 mg p.o.
    once daily. Goldline Baby Vitamins 1 mL p.o. once daily.
3.  Iron and vitamin D supplementation: Iron supplementation
    is recommended for preterm and low birth weight infants
    until 12 months of corrected age. All infants fed
    predominantly breast milk should receive vitamin D
    supplementation at 200 international units which may be
    provided as multivitamin preparation daily until 12
    months corrected age.
4.  Car seat position screening was performed. [**Known lastname 916**] was
    observed in his car seat for 90 minutes without episodes
    of bradycardia or oxygen desaturation.
5.  State newborn screens were sent on [**2103-3-30**], with
    all results within normal limits. A repeat screen was
    sent on [**1103-4-10**].
6.  Immunizations: Hepatitis B vaccine was administered on
    [**4-9**],2 007.
7.  Immunizations recommended: Synagis RSV prophylaxis should
    be considered from [**Month (only) **] through [**Month (only) 958**] for infants who
    meet any of the following 4 criteria: 1) born at less
    than 32 weeks; 2) born between 32-35 weeks with 2 of the
    following: Daycare during RSV season, a smoker in the
    household, neuromuscular disease, airway abnormalities,
    or school-age siblings; 3) chronic lung disease; or 4)
    hemodynamically significant congenital heart disease.
    Influenza immunization is recommended annually in the
    fall for all infants once they reach 6 months of age.
    Before this age and for the 1st 24 months of the child's
    life, immunization against influenza is recommended for
    household contacts and out-of-home caregivers. This
    infant has not received rotavirus vaccine. The American
    Academy of Pediatrics recommends initial vaccination of
    preterm infants at or following discharge from the
    hospital if they are clinically stable and at least 6
    weeks, but fewer than 12 weeks of age.
8.  Follow-up appointments scheduled or recommended:
    Appointment with Dr. [**First Name (STitle) 1557**], primary pediatrician within
    3 days of discharge.

DISCHARGE DIAGNOSES:
1.  Prematurity at 33-4/7-weeks gestation.
2.  Respiratory distress secondary to transient tachypnea of
    the newborn.
3.  Suspicion for sepsis ruled out.
4.  Circumcision performed [**2103-4-12**].



                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 55750**]

Dictated By:[**Last Name (Titles) **]
MEDQUIST36
D:  [**2103-4-13**] 01:05:04
T:  [**2103-4-13**] 06:40:59
Job#:  [**Job Number 71929**]
{'Other preterm infants, 1,750-1,999 grams,Neonatal jaundice associated with preterm delivery,Transitory tachypnea of newborn,Routine or ritual circumcision,Observation for suspected infectious condition,Need for prophylactic vaccination and inoculation against viral hepatitis'}


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: [**Known lastname 916**] [**Known lastname **] is a former 1.99
kilogram product of a 33-4/7-weeks gestation pregnancy born
to a 42-year-old G1, P0 woman. Prenatal screens: AB positive, Ab
neg, RI, RPR NR, HBSAg neg, GBS unknown.
This was an IVF conceived pregnancy. EDC was [**2103-5-12**].
The pregnancy was noted initially to be a twin gestation with
a spontaneous reduction at approximately 6 weeks of
gestation.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other preterm infants, 1,750-1,999 grams,Neonatal jaundice associated with preterm delivery,Transitory tachypnea of newborn,Routine or ritual circumcision,Observation for suspected infectious condition,Need for prophylactic vaccination and inoculation against viral hepatitis'}
