CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 61 year old man
with hypertension, Type 2 diabetes with no prior cardiac
history who presented to an outside hospital on [**2-15**]
with an acute onset of shortness of breath and overproductive
cough.  He was transferred to the [**Hospital6 649**].  ST and T wave changes were observed.  The
chest x-ray showed pulmonary edema/Lasix was given and the
patient felt a little better.  The patient quoted a monitor
planned energy level.

MEDICAL HISTORY: Significant for degenerative joint
disease of the neck and spine, hypertension, Type 2 diabetes.
His risk factors include hypertension and diabetes.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Significant for coronary artery disease.

SOCIAL HISTORY: He was married, he denied any ethanol abuse.
He is a tobacco smoker for 48 years.  He is a disabled
truckdriver due to degenerative joint disease.
Acute myocardial infarction of unspecified site, initial episode of care,Congestive heart failure, unspecified,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
AMI NOS, initial,CHF NOS,Crnry athrscl natve vssl,Hypertension NOS,DMII wo cmp nt st uncntr
Admission Date:  [**2189-2-16**]       Discharge Date:

Date of Birth:   [**2127-2-24**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 61 year old man
with hypertension, Type 2 diabetes with no prior cardiac
history who presented to an outside hospital on [**2-15**]
with an acute onset of shortness of breath and overproductive
cough.  He was transferred to the [**Hospital6 649**].  ST and T wave changes were observed.  The
chest x-ray showed pulmonary edema/Lasix was given and the
patient felt a little better.  The patient quoted a monitor
planned energy level.

PAST MEDICAL HISTORY:  Significant for degenerative joint
disease of the neck and spine, hypertension, Type 2 diabetes.
His risk factors include hypertension and diabetes.

ALLERGIES:  No known drug allergies.

MEDICATIONS:  Aspirin, Plavix 75 mg q.d., Aggrastat, Lovenox,
last dose was on [**2-16**], Glipizide 5 mg q.d., Lopressor
25 mg b.i.d., Lasix 40 mg intravenously once a day, these
were on arrival.

FAMILY HISTORY:  Significant for coronary artery disease.

SOCIAL HISTORY:  He was married, he denied any ethanol abuse.
He is a tobacco smoker for 48 years.  He is a disabled
truckdriver due to degenerative joint disease.

REVIEW OF SYSTEMS:  Significant for pain from back pain,
because of his degenerative joint disease.

LABORATORY DATA:  His laboratory data on admission were
complete blood count of 9.8, hematocrit 38.7, platelets 276,
BUN 14 and creatinine 1.0.  CK 177, MB 6.6.

HOSPITAL COURSE:  This is a man who entered the
Catheterization Laboratory and severe three vessel disease
was diagnosed with an left ventricular end diastolic pressure
of 34.  The patient was taken to the Operating Room on
[**2189-2-18**] where he had a coronary artery bypass graft
times three by Dr. [**Last Name (STitle) **].  Postoperatively the patient
was transferred to the Cardiothoracic Intensive Care Unit
where he was transfused for a low hematocrit and the patient
was transferred to the floor on [**2-19**] in the evening of
postoperative day #1.  On postoperative day #2, the patient's
Foley catheter was discontinued in the morning as well as his
chest tubes.  Chronic Pain Service was consulted for his
ongoing pain for which they stated we should continue the
OxyContin and Percocet for breakthrough pain.  The patient's
wires were discontinued on [**2189-2-21**].  He tolerated
this procedure well.  No bleeding was noted.  The patient was
continued on his medications and he was discontinued home
pending Level 4 or 5 stairs.

DISCHARGE MEDICATIONS:  (tentatively)
1.  Lopressor 50 p.o. b.i.d.
2.  Glucophage 300 mg p.o. b.i.d.
3.  OxyContin 400 mg p.o. b.i.d.
4.  Glyburide 5 mg p.o. q.d.
5.  Percocet, he will get 80 tablets for pain along with
Colace
6.  Aspirin 325 mg p.o. q.d.
7.  Lasix 20 mg p.o. b.i.d.
8.  Potassium chloride 20 mEq p.o. b.i.d. for a total of one
week
9.  Prescription for Zantac 150 mg p.o. b.i.d.

FOLLOW UP:  He is to follow up with Dr. [**Last Name (STitle) **] in four
weeks and he is to follow up with his primary care physician
as well.

Addendum will include date of discharge and any medication
changes.


                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Name8 (MD) 16758**]
MEDQUIST36

D:  [**2189-2-21**]  20:19
T:  [**2189-2-21**]  21:44
JOB#:  [**Job Number 30684**]


Name:  [**Known lastname 6869**], [**Known firstname **]                     Unit No:  [**Numeric Identifier 6870**]

Admission Date:  [**2189-2-16**]     Discharge Date:  [**2189-2-23**]

Date of Birth:   [**2127-2-24**]     Sex:  M

Service:

The patient is going home on 40 mg of OxyContin po bid.  He
is on Glucophage 500 mg po bid.  Patient is going home on the
same medications as said otherwise.  He is being discharged
on [**2189-2-23**].






                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 4474**], M.D.  [**MD Number(1) 4475**]

Dictated By:[**Name8 (MD) 2965**]

MEDQUIST36

D:  [**2189-2-23**]  09:34
T:  [**2189-2-23**]  09:59
JOB#:  [**Job Number 6871**]
{'Acute myocardial infarction of unspecified site, initial episode of care,Congestive heart failure, unspecified,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}


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: The patient is a 61 year old man
with hypertension, Type 2 diabetes with no prior cardiac
history who presented to an outside hospital on [**2-15**]
with an acute onset of shortness of breath and overproductive
cough.  He was transferred to the [**Hospital6 649**].  ST and T wave changes were observed.  The
chest x-ray showed pulmonary edema/Lasix was given and the
patient felt a little better.  The patient quoted a monitor
planned energy level.

MEDICAL HISTORY: Significant for degenerative joint
disease of the neck and spine, hypertension, Type 2 diabetes.
His risk factors include hypertension and diabetes.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Significant for coronary artery disease.

SOCIAL HISTORY: He was married, he denied any ethanol abuse.
He is a tobacco smoker for 48 years.  He is a disabled
truckdriver due to degenerative joint disease. 

### Response:
{'Acute myocardial infarction of unspecified site, initial episode of care,Congestive heart failure, unspecified,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}
