Unnamed: 0 int64 0 99 | hadm_id int64 20.1M 29.8M | admittime stringlengths 19 19 | patient_lang stringclasses 2
values | patient_marital stringclasses 4
values | patient_race stringclasses 12
values | patient_gender stringclasses 2
values | patient_age int64 20 91 | services stringlengths 56 178 | notes_discharge stringlengths 941 23k | notes_radiology stringlengths 2 65.6k | target_prescriptions stringlengths 2 8.33k | target_procedures stringlengths 2 1.72k | _service stringclasses 12
values | target_laborders stringlengths 2 17.7k | prompt stringlengths 204 10.2k | reference_answer stringlengths 541 20.6k |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 | 21,789,721 | 2162-06-22 20:01:00 | ENGLISH | SINGLE | BLACK/AFRICAN AMERICAN | M | 50 | [[21789721, Timestamp('2162-06-22 20:02:43'), '', 'CMED'], [21789721, Timestamp('2162-06-28 18:12:19'), 'CMED', 'MED']] | [[{'Medications on Admission': ':\nThe Preadmission Medication list may be inaccurate and requires \nfuther investigation.\n1. aspart 1 Units Breakfast\naspart 1 Units Lunch\naspart 1 Units Dinner\naspart 1 Units Bedtime\n2. Omeprazole 20 mg PO DAILY \n3. Furosemide 20 mg PO DAILY \n4. LevETIRAcetam 500 mg PO DAILY \n5... | [['EXAMINATION: CHEST (PORTABLE AP)\n\nINDICATION: ___ year old man with hypoxemia and metastatic pancreatic cancer. \n// pna ? edema ? pna ? edema ?\n\nIMPRESSION: \n\nExtensive consolidations in particular involving right upper lobe as well as\nbibasal areas is unchanged. Central venous line tip terminates at... | [[21789721, Timestamp('2162-06-23 08:00:00'), Timestamp('2162-06-28 20:00:00'), 'BASE', '0.9% Sodium Chloride', '', '0', '100 mL Bag'], [21789721, Timestamp('2162-06-23 08:00:00'), Timestamp('2162-06-28 20:00:00'), 'MAIN', 'Calcium Gluconate', '066576', '61553005148', '2 g / 100 mL Premix Bag'], [21789721, Timestamp('2... | [['5A1945Z', 10, 1, Timestamp('2162-06-23 00:00:00'), 'Respiratory Ventilation, 24-96 Consecutive Hours'], ['0BH17EZ', 10, 8, Timestamp('2162-06-23 00:00:00'), 'Insertion of Endotracheal Airway into Trachea, Via Natural or Artificial Opening'], ['02HV33Z', 10, 10, Timestamp('2162-06-23 00:00:00'), 'Insertion of Infusio... | ['medicine'] | [[50861, Timestamp('2162-06-22 20:14:00'), Timestamp('2162-06-22 21:13:00'), 'Alanine Aminotransferase (ALT)'], [50862, Timestamp('2162-06-22 20:14:00'), Timestamp('2162-06-23 02:02:00'), 'Albumin'], [50863, Timestamp('2162-06-22 20:14:00'), Timestamp('2162-06-22 21:13:00'), 'Alkaline Phosphatase'], [50868, Timestamp('... |
Question: A 50 M is admitted. He/she says he/she has
Shortness of breath
.
History of illness:
Mr. ___ is a ___ yo man with a presumed diagnosis metastatic
pancreatic cancer, likely metastatic who is being transferred
from ___ out of concern for tamponande and need for
cardiac window ___ setting of new hypo... |
TARGETS
Target Prescriptions:
0.9% Sodium Chloride
Calcium Gluconate
Iso-Osmotic Dextrose
Vancomycin
Insulin
Furosemide
Ipratropium Bromide MDI
Syringe (0.9% Sodium Chloride)
Alteplase (Catheter Clearance)
0.9% Sodium Chloride (Mini Bag Plus)
CefePIME
PARoxetine
Fludrocortisone Acetate
Insulin
Lidocaine 1% (For PICC... |
1 | 23,153,038 | 2143-11-17 21:09:00 | ENGLISH | MARRIED | WHITE | F | 50 | [[23153038, Timestamp('2143-11-17 21:10:24'), '', 'CMED']] | [[{'Medications on Admission': ':\nThe Preadmission Medication list is accurate and complete.\n1. Lisinopril 10 mg PO DAILY \n2. Lorazepam 1 mg PO QAM:PRN anxiety \n3. Albuterol Inhaler 2 PUFF IH Q6H:PRN wheeze, sob \n\nSECONDARY DIAGOSES:\n- Hypertension\n- Anxiety\n- H/O Undifferentiated right neck tumor in ___, s/p ... | [['INDICATION: ___ with sob // eval for sob\n\nTECHNIQUE: Frontal lateral views the chest.\n\nCOMPARISON: Chest x-ray from ___.\n\nFINDINGS: \n\nPreviously seen left parenchymal opacity has resolved. Lungs are now clear\nwithout effusion, edema or consolidation. Right apical pleural based opacity\nwith superior... | [[23153038, Timestamp('2143-11-18 00:00:00'), Timestamp('2143-11-18 17:00:00'), 'MAIN', 'Lorazepam', '003758', '51079038620', '1mg Tablet'], [23153038, Timestamp('2143-11-18 00:00:00'), Timestamp('2143-11-18 17:00:00'), 'MAIN', 'Heparin', '006549', '63323026201', '5000 Units / mL- 1mL Vial'], [23153038, Timestamp('2143... | [] | ['medicine'] | [[51221, Timestamp('2143-11-18 07:00:00'), Timestamp('2143-11-18 08:37:00'), 'Hematocrit'], [51222, Timestamp('2143-11-18 07:00:00'), Timestamp('2143-11-18 08:37:00'), 'Hemoglobin'], [51248, Timestamp('2143-11-18 07:00:00'), Timestamp('2143-11-18 08:37:00'), 'MCH'], [51249, Timestamp('2143-11-18 07:00:00'), Timestamp('... |
Question: A 50 F is admitted. He/she says he/she has
Dyspnea on Exertion
.
History of illness:
___ year old woman with history of undifferentiated carcinoma of
the right neck, malignant ___ cell tumors, and left breast
cancer, HTN, and likely emphysema (no ___, not on medications),
presenting with dyspnea on ... |
TARGETS
Target Prescriptions:
Lorazepam
Heparin
Furosemide
Lorazepam
Lisinopril
Ipratropium Bromide Neb
Sodium Chloride 0.9% Flush
Target Lab Orders:
Hematocrit
Hemoglobin
MCH
MCHC
MCV
Platelet Count
RDW
Red Blood Cells
White Blood Cells
RDW-SD
Anion Gap
Bicarbonate
Chloride
Creatinine
Glucose
Potassium
Sodium
Tr... |
2 | 21,835,428 | 2116-01-18 10:00:00 | ENGLISH | SINGLE | WHITE | M | 38 | [[21835428, Timestamp('2116-01-18 02:25:50'), '', 'VSURG']] | [[{'Medications on Admission': ':\npercocet ___ tabs q8h, ultram, ibuprofen 800mg TID\n\nFacility:\n___ \n- ___', 'Brief Hospital Course': ":\nThe patient was admitted to the surgery service for evaluation \nand treatment.\n\nNeuro: The patient received a lumbar epidural with good effect \nand adequate pain control. Th... | [] | [[21835428, Timestamp('2116-01-19 01:00:00'), Timestamp('2116-01-19 14:00:00'), 'ADDITIVE', 'Bupivacaine 0.1%', '', '0', '250 mL CADD Med Cassette'], [21835428, Timestamp('2116-01-19 01:00:00'), Timestamp('2116-01-19 14:00:00'), 'BASE', 'Yellow CADD Cassette', '', '0', '250 mL CADD Med Cassette'], [21835428, Timestamp(... | [] | ['surgery'] | [[51221, Timestamp('2116-01-18 13:54:00'), Timestamp('2116-01-18 14:35:00'), 'Hematocrit'], [51222, Timestamp('2116-01-18 13:54:00'), Timestamp('2116-01-18 14:35:00'), 'Hemoglobin'], [51248, Timestamp('2116-01-18 13:54:00'), Timestamp('2116-01-18 14:35:00'), 'MCH'], [51249, Timestamp('2116-01-18 13:54:00'), Timestamp('... |
Question: A 38 M is admitted. He/she says he/she has
Left foot chronic pain
.
History of illness:
___ is a ___, nondiabetic man on Tramadol and
Motrin, who, ___ years ago, was involved in a motorcycle accident,
resulting in multiple
fractures of his left ankle. Since then, his foot causes
extreme pain and swe... |
TARGETS
Target Prescriptions:
Bupivacaine 0.1%
Yellow CADD Cassette
HYDROmorphone
Acetaminophen
Gabapentin
Heparin
Bag
Magnesium Sulfate
0.45% Sodium Chloride
Target Lab Orders:
Hematocrit
Hemoglobin
MCH
MCHC
MCV
Platelet Count
RDW
Red Blood Cells
White Blood Cells
Anion Gap
Bicarbonate
Calcium, Total
Chloride
Cre... |
3 | 29,830,193 | 2181-11-17 01:08:00 | ENGLISH | MARRIED | WHITE | M | 54 | "[[29830193, Timestamp('2181-11-17 01:09:55'), '', 'CMED'], [29830193, Timestamp('2181-11-19 11:41:4(...TRUNCATED) | "[[{'Medications on Admission': ':\\nAggrenox 1cap BID, Trazadone 50mg qhs, lorazepam 1mg Q6H, \\npa(...TRUNCATED) | "[['PORTABLE CHEST, ___\\n\\nCOMPARISON: Chest x-ray ___.\\n\\nFINDINGS: Radiodense tip of an intr(...TRUNCATED) | "[[29830193, Timestamp('2181-11-17 04:00:00'), Timestamp('2181-11-19 15:00:00'), 'BASE', '0.9% Sodiu(...TRUNCATED) | [] | ['cardiothoracic'] | "[[50861, Timestamp('2181-11-17 01:25:00'), Timestamp('2181-11-17 04:00:00'), 'Alanine Aminotransfer(...TRUNCATED) | "\n\nQuestion: A 54 M is admitted. He/she says he/she has \nchest pain\n\n. \nHistory of illness:\n\(...TRUNCATED) | "\nTARGETS\n\nTarget Prescriptions: \n0.9% Sodium Chloride\nPotassium Chloride\nLorazepam\nFamotidin(...TRUNCATED) |
4 | 26,762,034 | 2185-12-21 00:00:00 | ENGLISH | SINGLE | WHITE | M | 78 | [[26762034, Timestamp('2185-12-21 02:17:04'), '', 'CSURG']] | "[[{'Medications on Admission': ':\\n1. Lisinopril 10 mg PO DAILY \\n2. Atorvastatin 80 mg PO QPM(...TRUNCATED) | [] | "[[26762034, Timestamp('2185-12-21 16:00:00'), Timestamp('2185-12-21 23:00:00'), 'MAIN', 'PNEUMOcocc(...TRUNCATED) | [] | ['cardiothoracic'] | [] | "\n\nQuestion: A 78 M is admitted. He/she says he/she has \nnone\n\n. \nHistory of illness:\n\n___ y(...TRUNCATED) | "\nTARGETS\n\nTarget Prescriptions: \nPNEUMOcoccal 23-valent polysaccharide vaccine\nMultivitamins\n(...TRUNCATED) |
5 | 26,810,295 | 2130-08-13 18:14:00 | ENGLISH | SINGLE | BLACK/AFRICAN AMERICAN | F | 25 | [[26810295, Timestamp('2130-08-13 18:15:53'), '', 'OBS']] | "[[{'Medications on Admission': ':\\nPNV', 'Brief Hospital Course': 'NIL', 'Pertinent Results:': '\\(...TRUNCATED) | [] | "[[26810295, Timestamp('2130-08-13 19:00:00'), Timestamp('2130-08-13 18:00:00'), 'MAIN', 'Docusate S(...TRUNCATED) | [] | ['obstetrics/gynecology'] | [[51221, Timestamp('2130-08-14 00:00:00'), Timestamp('2130-08-14 00:45:00'), 'Hematocrit']] | "\n\nQuestion: A 25 F is admitted. He/she says he/she has \ntransfer of care for NICU proximity\n\n.(...TRUNCATED) | "\nTARGETS\n\nTarget Prescriptions: \nDocusate Sodium\nMilk of Magnesia\nAcetaminophen\nSimethicone\(...TRUNCATED) |
6 | 25,448,487 | 2124-12-30 10:15:00 | ? | MARRIED | WHITE - BRAZILIAN | F | 57 | [[25448487, Timestamp('2124-12-30 01:00:19'), '', 'ORTHO']] | "[[{'Medications on Admission': \":\\nnorvasc,colace,fosamax,ayclovir,senna,zocor,T3,Ca\\n\\n1. Docu(...TRUNCATED) | "[['HISTORY: Total hip replacement.\\n\\nSingle AP supine radiograph of the pelvis apparently obtai(...TRUNCATED) | "[[25448487, Timestamp('2124-12-30 22:00:00'), Timestamp('2125-01-03 18:00:00'), 'MAIN', 'Morphine S(...TRUNCATED) | [] | ['orthopaedics'] | "[[50868, Timestamp('2124-12-30 16:15:00'), Timestamp('2124-12-30 17:18:00'), 'Anion Gap'], [50882, (...TRUNCATED) | "\n\nQuestion: A 57 F is admitted. He/she says he/she has \nleft hip pain\n\n. \nHistory of illness:(...TRUNCATED) | "\nTARGETS\n\nTarget Prescriptions: \nMorphine Sulfate\nSenna\nDiphenhydrAMINE\nBisacodyl\nDiphenhyd(...TRUNCATED) |
7 | 27,574,184 | 2142-04-08 19:58:00 | ENGLISH | MARRIED | WHITE | M | 91 | [[27574184, Timestamp('2142-04-08 19:59:25'), '', 'CMED']] | "[[{'Medications on Admission': ':\\n- Pravastatin 80 mg Oral Tablet Take 1 tablet every evening for(...TRUNCATED) | "[['CHEST RADIOGRAPHS \\n\\nHISTORY: Intermittent chest pain.\\n\\nCOMPARISONS: None.\\n\\nTECHNIQ(...TRUNCATED) | "[[27574184, Timestamp('2142-04-09 10:00:00'), Timestamp('2142-04-09 12:00:00'), 'MAIN', 'NIFEdipine(...TRUNCATED) | [] | ['medicine'] | "[[51078, Timestamp('2142-04-08 22:56:00'), Timestamp('2142-04-08 23:11:00'), 'Chloride, Urine'], [5(...TRUNCATED) | "\n\nQuestion: A 91 M is admitted. He/she says he/she has \nChest pressure \n\n. \nHistory of illnes(...TRUNCATED) | "\nTARGETS\n\nTarget Prescriptions: \nNIFEdipine CR\nDextrose 50%\nInfluenza Virus Vaccine\nOmeprazo(...TRUNCATED) |
8 | 20,682,033 | 2160-04-23 01:18:00 | ENGLISH | SINGLE | WHITE | F | 71 | [[20682033, Timestamp('2160-04-23 01:18:58'), '', 'MED']] | "[[{'Medications on Admission': ':\\nThe Preadmission Medication list is accurate and complete.\\n1.(...TRUNCATED) | [] | "[[20682033, Timestamp('2160-04-23 06:00:00'), Timestamp('2160-04-26 20:00:00'), 'MAIN', 'Mirtazapin(...TRUNCATED) | [] | ['medicine'] | "[[51464, Timestamp('2160-04-22 21:39:00'), Timestamp('2160-04-22 22:44:00'), 'Bilirubin'], [51466, (...TRUNCATED) | "\n\nQuestion: A 71 F is admitted. He/she says he/she has \nRight low back/flank pain\n\n. \nHistory(...TRUNCATED) | "\nTARGETS\n\nTarget Prescriptions: \nMirtazapine\nNitrofurantoin Monohyd (MacroBID)\nClonazePAM\nAt(...TRUNCATED) |
9 | 27,264,929 | 2206-01-06 03:22:00 | ENGLISH | SINGLE | BLACK/AFRICAN AMERICAN | F | 43 | [[27264929, Timestamp('2206-01-06 03:22:58'), '', 'MED']] | "[[{'Medications on Admission': ':\\nThe Preadmission Medication list is accurate and complete.\\n1.(...TRUNCATED) | "[['EXAMINATION: CT abdomen/pelvis without contrast.\\n\\nINDICATION: ___ with HIV w/ abd pain, di(...TRUNCATED) | "[[27264929, Timestamp('2206-01-06 06:00:00'), Timestamp('2206-01-07 10:00:00'), 'MAIN', 'Insulin', (...TRUNCATED) | [] | ['medicine'] | "[[50868, Timestamp('2206-01-06 06:05:00'), Timestamp('2206-01-06 09:11:00'), 'Anion Gap'], [50882, (...TRUNCATED) | "\n\nQuestion: A 43 F is admitted. He/she says he/she has \nabdominal pain, fevers/chills\n\n. \nHis(...TRUNCATED) | "\nTARGETS\n\nTarget Prescriptions: \nInsulin\nHYDROmorphone (Dilaudid)\nOmeprazole\nGlucagon\nFluti(...TRUNCATED) |
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