mdg-nlp/domain-eventx-recognition-sentence

sent_id stringlengths 8 12	text stringlengths 1 498	start_char int64 0 9.12k	end_char int64 76 9.21k	doc_id stringclasses 152 values	time_expressions listlengths 0 0	event_expressions listlengths 0 14	sectime_expressions listlengths 0 0	tlinks listlengths 0 0
sent_0_162	Admission Date : 2015-09-14 Discharge Date : 2015-09-19 Service : NEONATOLOGY HISTORY OF PRESENT ILLNESS : The patient is a 3285 gm infant born at 37 5/7 weeks to a 21 year old G3 P1 now 2 mother with prenatal screens as follows : O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive ,...	0	335	162	[]	[ { "text": "Admission", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "born", "start_char": 139, "end_char": 143, "id": "E46", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...	[]	[]
sent_1_162	Unremarkable pregnancy except for minor fullness of the left renal pelvis reported during the week prior to delivery .	336	454	162	[]	[ { "text": "minor fullness of the left renal pelvis", "start_char": 34, "end_char": 73, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "reported", "start_char": 74, "end_char": 82, "id": "E48", "modality": "FACTUAL", "polarity"...	[]	[]
sent_2_162	Past OB history remarkable for postpartum depression .	455	509	162	[]	[ { "text": "postpartum depression", "start_char": 31, "end_char": 52, "id": "E8", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_3_162	Mother was admitted in labor .	510	540	162	[]	[ { "text": "admitted", "start_char": 11, "end_char": 19, "id": "E41", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "labor", "start_char": 23, "end_char": 28, "id": "E9", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_4_162	Baby was delivered by repeat C-section with rupture of membranes at delivery .	541	619	162	[]	[ { "text": "delivered", "start_char": 9, "end_char": 18, "id": "E49", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "repeat C-section", "start_char": 22, "end_char": 38, "id": "E10", "modality": "FACTUAL", "polarity": "POS", "type": "...	[]	[]
sent_5_162	Apgars were 8 and 9 .	620	641	162	[]	[ { "text": "Apgars", "start_char": 0, "end_char": 6, "id": "E13", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_6_162	CMED CSRU staff was called about 30 minutes of age for grunting , flaring and retractions and the baby was admitted to the CMED CSRU .	642	776	162	[]	[ { "text": "CMED CSRU", "start_char": 0, "end_char": 9, "id": "E50", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "grunting", "start_char": 55, "end_char": 63, "id": "E14", "modality": "FACTUAL", "polarity": "POS", "type": "POS" },...	[]	[]
sent_7_162	HOSPITAL COURSE: 1.	777	796	162	[]	[]	[]	[]
sent_8_162	Respiratory .	797	810	162	[]	[]	[]	[]
sent_9_162	The Athol Memorial Hospital hospital course was initially consistent with transient tachypnea of the newborn .	811	921	162	[]	[ { "text": "The Athol Memorial Hospital", "start_char": 0, "end_char": 27, "id": "E54", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "hospital course", "start_char": 28, "end_char": 43, "id": "E55", "modality": "FACTUAL", "polarity": "PO...	[]	[]
sent_10_162	Chest x-ray revealed mild streakiness of the lung fields .	922	980	162	[]	[ { "text": "Chest x-ray", "start_char": 0, "end_char": 11, "id": "E17", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "revealed", "start_char": 12, "end_char": 20, "id": "E57", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...	[]	[]
sent_11_162	He was initially placed on nasal cannula with subsequent resolution of respiratory distress .	981	1,074	162	[]	[ { "text": "nasal cannula", "start_char": 27, "end_char": 40, "id": "E19", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "resolution", "start_char": 57, "end_char": 67, "id": "E42", "modality": "FACTUAL", "polarity": "POS", "type": "P...	[]	[]
sent_12_162	Nasal cannula was weaned off on day of life 3 and he initially was maintaining O2 sat above 94% and breathing comfortably .	1,075	1,198	162	[]	[ { "text": "Nasal cannula", "start_char": 0, "end_char": 13, "id": "E21", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "weaned off", "start_char": 18, "end_char": 28, "id": "E43", "modality": "FACTUAL", "polarity": "POS", "type": "PO...	[]	[]
sent_13_162	He was subsequently placed back on nasal cannula for mild oxygen desaturation and was requiring 25 c/min flow at the time of discharge .	1,199	1,335	162	[]	[ { "text": "nasal cannula", "start_char": 35, "end_char": 48, "id": "E23", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "mild oxygen desaturation", "start_char": 53, "end_char": 77, "id": "E24", "modality": "FACTUAL", "polarity": "POS", ...	[]	[]
sent_14_162	No apneic or brady episodes .	1,336	1,365	162	[]	[ { "text": "apneic or brady episodes", "start_char": 3, "end_char": 27, "id": "E60", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]	[]	[]
sent_15_162	2.	1,366	1,368	162	[]	[]	[]	[]
sent_16_162	Cardiovascular .	1,369	1,385	162	[]	[]	[]	[]
sent_17_162	The patient 's cardiovascular status has been stable throughout his CMED CSRU stay .	1,386	1,470	162	[]	[ { "text": "stable", "start_char": 46, "end_char": 52, "id": "E61", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "his CMED CSRU stay", "start_char": 64, "end_char": 82, "id": "E62", "modality": "FACTUAL", "polarity": "POS", "type": "...	[]	[]
sent_18_162	No murmur on exam .	1,471	1,490	162	[]	[ { "text": "murmur", "start_char": 3, "end_char": 9, "id": "E25", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "exam", "start_char": 13, "end_char": 17, "id": "E26", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_19_162	3.	1,491	1,493	162	[]	[]	[]	[]
sent_20_162	FEN .	1,494	1,499	162	[]	[]	[]	[]
sent_21_162	The patient had been tolerating oral feeding as of day of life 2 and is currently taking Enfamil 20 p.o.	1,500	1,604	162	[]	[ { "text": "tolerating oral feeding", "start_char": 21, "end_char": 44, "id": "E63", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "Enfamil", "start_char": 89, "end_char": 96, "id": "E27", "modality": "FACTUAL", "polarity": "POS", "ty...	[]	[]
sent_22_162	ad lib .	1,605	1,613	162	[]	[]	[]	[]
sent_23_162	He has been weaned off IV fluids and has been maintaining good blood glucose .	1,614	1,692	162	[]	[ { "text": "weaned off", "start_char": 12, "end_char": 22, "id": "E44", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "IV fluids", "start_char": 23, "end_char": 32, "id": "E28", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...	[]	[]
sent_24_162	His birth weight was 3285 gm .	1,693	1,723	162	[]	[ { "text": "His birth weight", "start_char": 0, "end_char": 16, "id": "E29", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_25_162	His weight is 3015 gm on day of life 5 .	1,724	1,764	162	[]	[ { "text": "His weight", "start_char": 0, "end_char": 10, "id": "E30", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_26_162	4.	1,765	1,767	162	[]	[]	[]	[]
sent_27_162	GI .	1,768	1,772	162	[]	[]	[]	[]
sent_28_162	The patient 's bilirubin level at 24 hours of life was 4.6.	1,773	1,832	162	[]	[ { "text": "The patient 's bilirubin level", "start_char": 0, "end_char": 30, "id": "E31", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_29_162	No phototherapy was started .	1,833	1,862	162	[]	[ { "text": "phototherapy", "start_char": 3, "end_char": 15, "id": "E65", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]	[]	[]
sent_30_162	5.	1,863	1,865	162	[]	[]	[]	[]
sent_31_162	ID .	1,866	1,870	162	[]	[]	[]	[]
sent_32_162	The patient was not started on antibiotics , given lack of sepsis risk factors .	1,871	1,951	162	[]	[ { "text": "antibiotics", "start_char": 31, "end_char": 42, "id": "E32", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "sepsis risk factors", "start_char": 59, "end_char": 78, "id": "E66", "modality": "FACTUAL", "polarity": "NEG", "ty...	[]	[]
sent_33_162	His initial CBC showed no left shift .	1,952	1,990	162	[]	[ { "text": "His initial CBC", "start_char": 0, "end_char": 15, "id": "E33", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "showed", "start_char": 16, "end_char": 22, "id": "E67", "modality": "FACTUAL", "polarity": "POS", "type": "POS"...	[]	[]
sent_34_162	Blood culture had remained no growth to date .	1,991	2,037	162	[]	[ { "text": "Blood culture", "start_char": 0, "end_char": 13, "id": "E35", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "growth", "start_char": 30, "end_char": 36, "id": "E36", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" ...	[]	[]
sent_35_162	6.	2,038	2,040	162	[]	[]	[]	[]
sent_36_162	Heme .	2,041	2,047	162	[]	[]	[]	[]
sent_37_162	The patient 's initial hematocrit was 35.8 .	2,048	2,092	162	[]	[ { "text": "The patient 's initial hematocrit", "start_char": 0, "end_char": 33, "id": "E37", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_38_162	No transfusion during this admission .	2,093	2,131	162	[]	[ { "text": "transfusion", "start_char": 3, "end_char": 14, "id": "E38", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "this admission", "start_char": 22, "end_char": 36, "id": "E39", "modality": "FACTUAL", "polarity": "POS", "type": "...	[]	[]
sent_39_162	CONDITION ON TRANSFER : The patient has been doing well on low flow nasal cannula.	2,132	2,214	162	[]	[ { "text": "TRANSFER", "start_char": 13, "end_char": 21, "id": "E68", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "well", "start_char": 51, "end_char": 55, "id": "E69", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...	[]	[]
sent_40_162	He has been tolerating p.o.	2,215	2,242	162	[]	[]	[]	[]
sent_41_162	ad lib feeds .	2,243	2,257	162	[]	[]	[]	[]
sent_0_348	ADMISSION DATE : 3-26-93 DISCHARGE DATE : 4-3-93 HISTORY OF PRESENT ILLNESS : The patient is a 73 year old female who was transferred for cardiac catheterization after ventricular fibrillation arrest in the setting of an acute inferior myocardial infarction and a urinary tract infection .	0	294	348	[]	[ { "text": "ADMISSION", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "transferred", "start_char": 127, "end_char": 138, "id": "E54", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...	[]	[]
sent_1_348	The patient was admitted on 3-16-93 to Diy Hospital for an E. coli urinary tract infection .	296	388	348	[]	[ { "text": "admitted", "start_char": 16, "end_char": 24, "id": "E45", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "Diy Hospital", "start_char": 39, "end_char": 51, "id": "E55", "modality": "FACTUAL", "polarity": "POS", "type": "POS"...	[]	[]
sent_2_348	The patient was readmitted on 3-20-93 because of fever , chills and a sudden onset of ventricular fibrillation arrest , successfully cardioverted back to rapid atrial fibrillation and finally to sinus rhythm , where an electrocardiogram then showed ST elevation in inferior leads .	390	671	348	[]	[ { "text": "readmitted", "start_char": 16, "end_char": 26, "id": "E46", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "fever", "start_char": 49, "end_char": 54, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...	[]	[]
sent_3_348	Peak CPK was 2494 with 18% MB 's .	673	707	348	[]	[ { "text": "Peak CPK", "start_char": 0, "end_char": 8, "id": "E12", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "MB 's", "start_char": 27, "end_char": 32, "id": "E70", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_4_348	She required intubation for mild to moderate congestive heart failure , treated with diuretics , intravenous nitroglycerin and heparin .	709	845	348	[]	[ { "text": "intubation", "start_char": 13, "end_char": 23, "id": "E14", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "mild to moderate congestive heart failure", "start_char": 28, "end_char": 69, "id": "E57", "modality": "FACTUAL", "pola...	[]	[]
sent_5_348	She had post-infarction angina , was transferred here for angiography and possible percutaneous transluminal coronary angioplasty .	847	978	348	[]	[ { "text": "post-infarction angina", "start_char": 8, "end_char": 30, "id": "E58", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "transferred", "start_char": 37, "end_char": 48, "id": "E59", "modality": "FACTUAL", "polarity": "POS", "...	[]	[]
sent_6_348	HOSPITAL COURSE : On 3-27-93 , patient underwent cardiac catheterization , coronary and left ventricular angiography without complications .	980	1,121	348	[]	[ { "text": "cardiac catheterization", "start_char": 50, "end_char": 73, "id": "E18", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "coronary and left ventricular angiography", "start_char": 76, "end_char": 117, "id": "E19", "modality": "FACTU...	[]	[]
sent_7_348	Review of these angiograms demonstrated a dominant right coronary artery with a focal 50% stenosis in the mid-portion .	1,123	1,242	348	[]	[ { "text": "these angiograms", "start_char": 10, "end_char": 26, "id": "E21", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "demonstrated", "start_char": 27, "end_char": 39, "id": "E49", "modality": "FACTUAL", "polarity": "POS", "type...	[]	[]
sent_8_348	The left main coronary artery was clear .	1,244	1,285	348	[]	[]	[]	[]
sent_9_348	The left anterior descending had moderate plaques with a 50% proximal stenosis of the right anterior oblique caudal view .	1,287	1,409	348	[]	[ { "text": "moderate plaques", "start_char": 33, "end_char": 49, "id": "E23", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "a 50% proximal stenosis of the right anterior oblique caudal", "start_char": 55, "end_char": 115, "id": "E24", "modal...	[]	[]
sent_10_348	The proximal diagonal D1 had a 50% stenosis .	1,411	1,456	348	[]	[ { "text": "a 50% stenosis", "start_char": 29, "end_char": 43, "id": "E25", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_11_348	The circumflex had a long 30% stenosis proximally and an 80% stenosis at the origin of the second major marginal artery .	1,458	1,579	348	[]	[ { "text": "a long 30% stenosis", "start_char": 19, "end_char": 38, "id": "E26", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "an 80% stenosis", "start_char": 54, "end_char": 69, "id": "E27", "modality": "FACTUAL", "polarity": "POS", ...	[]	[]
sent_12_348	The left ventricular angiogram showed akinesis of the posterobasal walls , severe hypokinesis of the diaphragmatic wall and trace mitral regurgitation .	1,581	1,733	348	[]	[ { "text": "The left ventricular angiogram", "start_char": 0, "end_char": 30, "id": "E28", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "showed", "start_char": 31, "end_char": 37, "id": "E50", "modality": "FACTUAL", "polarity": "POS", ...	[]	[]
sent_13_348	The patient was maintained on heparin anticoagulation .	1,735	1,790	348	[]	[ { "text": "maintained", "start_char": 16, "end_char": 26, "id": "E62", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "heparin anticoagulation", "start_char": 30, "end_char": 53, "id": "E32", "modality": "FACTUAL", "polarity": "POS", ...	[]	[]
sent_14_348	An exercise tolerance test with Thallium was to be performed in order to assess myocardial viability in the infarct zone .	1,792	1,914	348	[]	[ { "text": "An exercise tolerance test with Thallium", "start_char": 0, "end_char": 40, "id": "E33", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "myocardial viability", "start_char": 80, "end_char": 100, "id": "E63", "modality": "FACTUAL", ...	[]	[]
sent_15_348	The right coronary artery lesion was complex and there was severe stenosis in the obtuse marginal 1 .	1,916	2,017	348	[]	[ { "text": "The right coronary artery lesion", "start_char": 0, "end_char": 32, "id": "E35", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "severe stenosis in the obtuse marginal 1", "start_char": 59, "end_char": 99, "id": "E36", "modality": ...	[]	[]
sent_16_348	The patient had no further angina .	2,019	2,054	348	[]	[ { "text": "further angina", "start_char": 19, "end_char": 33, "id": "E37", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]	[]	[]
sent_17_348	On 4-2-93 , she underwent a Persantine Thallium study .	2,056	2,111	348	[]	[ { "text": "a Persantine Thallium study", "start_char": 26, "end_char": 53, "id": "E38", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_18_348	This showed no diagnostic electrocardiogram changes for ischemia and no angina pectoris .	2,113	2,202	348	[]	[ { "text": "This showed", "start_char": 0, "end_char": 11, "id": "E51", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "diagnostic electrocardiogram changes", "start_char": 15, "end_char": 51, "id": "E39", "modality": "FACTUAL", "polarity"...	[]	[]
sent_19_348	The thallium images showed a large region of persistently reduced blood flow involving the apex and inferoposterior segments of the left ventricular wall .	2,204	2,359	348	[]	[ { "text": "The thallium images", "start_char": 0, "end_char": 19, "id": "E41", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "showed", "start_char": 20, "end_char": 26, "id": "E52", "modality": "FACTUAL", "polarity": "POS", "type": "...	[]	[]
sent_20_348	This was consistent with scar .	2,361	2,392	348	[]	[ { "text": "scar", "start_char": 25, "end_char": 29, "id": "E43", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_21_348	There was no definite perfusion abnormality in the circumflex zone .	2,394	2,462	348	[]	[ { "text": "definite perfusion abnormality in the circumflex zone", "start_char": 13, "end_char": 66, "id": "E44", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]	[]	[]
sent_22_348	In view of these findings , it was elected to discharge her on her present medical program .	2,464	2,556	348	[]	[ { "text": "discharge", "start_char": 46, "end_char": 55, "id": "E65", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "her present medical program", "start_char": 63, "end_char": 90, "id": "E66", "modality": "FACTUAL", "polarity": "POS", ...	[]	[]
sent_23_348	The patient is to return to the follow up care of Dr. Ko Kollciem at the Diy Hospital .	2,558	2,645	348	[]	[ { "text": "return", "start_char": 18, "end_char": 24, "id": "E67", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "the follow up care", "start_char": 28, "end_char": 46, "id": "E68", "modality": "FACTUAL", "polarity": "POS", "type": "...	[]	[]
sent_24_348	CHPO E. JESCOBEA , M.D.	2,647	2,670	348	[]	[]	[]	[]
sent_25_348	TR : sq / bmot DD : 06-13-93 TD : 06/15/93 CC : Dr. Ko Kollciem , Retchard Healthcare to Dr. Wall	2,672	2,776	348	[]	[]	[]	[]
sent_0_572	Admission Date : 12/12/1996 Discharge Date : 12/16/1996 HISTORY / REASON FOR HOSPITALIZATION : The patient is a 42 year old gravida II , para I female with a long history of menorrhagia and pelvic pain .	0	203	572	[]	[ { "text": "Admission", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "menorrhagia", "start_char": 174, "end_char": 185, "id": "E2", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...	[]	[]
sent_1_572	She also has a history of endometriosis that is symptomatic .	204	265	572	[]	[ { "text": "endometriosis", "start_char": 26, "end_char": 39, "id": "E4", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "symptomatic", "start_char": 48, "end_char": 59, "id": "E5", "modality": "FACTUAL", "polarity": "POS", "type": "PO...	[]	[]
sent_2_572	She used Danocrine for approximately nine months and was pain free , but was unable to tolerate the side effects .	266	380	572	[]	[ { "text": "Danocrine", "start_char": 9, "end_char": 18, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "pain", "start_char": 57, "end_char": 61, "id": "E7", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { ...	[]	[]
sent_3_572	She is status post several laparoscopies in the past with which she was diagnosed with endometriosis .	381	483	572	[]	[ { "text": "several laparoscopies", "start_char": 19, "end_char": 40, "id": "E9", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "endometriosis", "start_char": 87, "end_char": 100, "id": "E10", "modality": "FACTUAL", "polarity": "POS", ...	[]	[]
sent_4_572	She has recently been on Depo-Provera and has had episodes of break-through bleeding for six weeks at a time .	484	594	572	[]	[ { "text": "Depo-Provera", "start_char": 25, "end_char": 37, "id": "E11", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "break-through bleeding", "start_char": 62, "end_char": 84, "id": "E12", "modality": "FACTUAL", "polarity": "POS", ...	[]	[]
sent_5_572	She desired surgical therapy .	595	625	572	[]	[ { "text": "surgical therapy", "start_char": 12, "end_char": 28, "id": "E13", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_6_572	HOSPITAL COURSE : On 12/12/96 she had an uncomplicated total abdominal hysterectomy and bilateral salpingo-oophorectomy .	626	747	572	[]	[ { "text": "an uncomplicated total abdominal hysterectomy", "start_char": 38, "end_char": 83, "id": "E14", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "bilateral salpingo-oophorectomy", "start_char": 88, "end_char": 119, "id": "E15", "modal...	[]	[]
sent_7_572	Estimated blood loss was 100 cc and she tolerated the procedure well .	748	818	572	[]	[ { "text": "Estimated blood loss", "start_char": 0, "end_char": 20, "id": "E16", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "the procedure", "start_char": 50, "end_char": 63, "id": "E17", "modality": "FACTUAL", "polarity": "POS", "...	[]	[]
sent_8_572	On postop day number one she was afebrile and doing well with a PCA for pain control .	819	905	572	[]	[ { "text": "afebrile", "start_char": 33, "end_char": 41, "id": "E18", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "well", "start_char": 52, "end_char": 56, "id": "E19", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...	[]	[]
sent_9_572	On postop day number two she was also afebrile and had not passed any flatus yet .	906	988	572	[]	[ { "text": "afebrile", "start_char": 38, "end_char": 46, "id": "E22", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "passed any flatus", "start_char": 59, "end_char": 76, "id": "E23", "modality": "FACTUAL", "polarity": "NEG", "type": ...	[]	[]
sent_10_572	She was ambulating frequently .	989	1,020	572	[]	[ { "text": "ambulating frequently .", "start_char": 8, "end_char": 31, "id": "E24", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_11_572	Her hematocrit was 34.2 and stable from her preoperative value .	1,021	1,085	572	[]	[ { "text": "Her hematocrit", "start_char": 0, "end_char": 14, "id": "E25", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "stable", "start_char": 28, "end_char": 34, "id": "E26", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...	[]	[]
sent_12_572	On postop day number three her abdomen was noted to be distended with a few bowel sounds and she still had not passed gas .	1,086	1,209	572	[]	[ { "text": "distended", "start_char": 55, "end_char": 64, "id": "E28", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "bowel sounds", "start_char": 76, "end_char": 88, "id": "E30", "modality": "FACTUAL", "polarity": "POS", "type": "POS...	[]	[]
sent_13_572	The patient decreased the amount of Demerol she was using and supplemented with Tylenol and continued her frequent ambulation .	1,210	1,337	572	[]	[ { "text": "decreased", "start_char": 12, "end_char": 21, "id": "E34", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "Demerol", "start_char": 36, "end_char": 43, "id": "E33", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }...	[]	[]
sent_14_572	On postop day number four she had passed flatus and was feeling much better .	1,338	1,415	572	[]	[ { "text": "flatus", "start_char": 41, "end_char": 47, "id": "E38", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "feeling much better", "start_char": 56, "end_char": 75, "id": "E39", "modality": "FACTUAL", "polarity": "POS", "type": ...	[]	[]
sent_15_572	She was discharged to home in good condition on the following medications .	1,416	1,491	572	[]	[ { "text": "discharged", "start_char": 8, "end_char": 18, "id": "E40", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "good condition", "start_char": 30, "end_char": 44, "id": "E41", "modality": "FACTUAL", "polarity": "POS", "type": "P...	[]	[]
sent_16_572	DISCHARGE MEDICATIONS : Demerol for pain .	1,492	1,534	572	[]	[ { "text": "Demerol", "start_char": 24, "end_char": 31, "id": "E43", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "pain", "start_char": 36, "end_char": 40, "id": "E44", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_17_572	Motrin for pain .	1,535	1,552	572	[]	[ { "text": "Motrin", "start_char": 0, "end_char": 6, "id": "E45", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "pain", "start_char": 11, "end_char": 15, "id": "E46", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_18_572	Colace stool softener .	1,553	1,576	572	[]	[ { "text": "Colace stool softener", "start_char": 0, "end_char": 21, "id": "E47", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_19_572	DISPOSITION : The patient should follow-up with Dr. Side in two weeks .	1,577	1,648	572	[]	[]	[]	[]
sent_20_572	Dictated By : IEDEARC SIDE , M.D.	1,649	1,682	572	[]	[]	[]	[]
sent_21_572	LB28 Attending : MITERY D. LOSS , M.D.	1,683	1,721	572	[]	[]	[]	[]
sent_22_572	CB51 II795/2112 Batch : 42100 Index No.	1,722	1,761	572	[]	[]	[]	[]
sent_23_572	ZMFX3O4G1 D : 01/04/97 T : 01/06/97 CC : 1.	1,762	1,805	572	[]	[]	[]	[]
sent_24_572	MITERY D. LOSS , M.D.	1,806	1,827	572	[]	[]	[]	[]
sent_25_572	NT11 [ report _ end ]	1,828	1,849	572	[]	[]	[]	[]
sent_0_201	ADMISSION DATE : 03/11/2002 DISCHARGE DATE : 03/14/2002 DISCHARGE DATE : 03/14/2002 HISTORY OF PRESENT ILLNESS : This is a 62-year-old hospice chaplain who was referred by Dr. Tomedankell Flowayles and Dr. Es Oarekote for evaluation of his right hip pain .	0	256	201	[]	[ { "text": "ADMISSION", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "referred", "start_char": 160, "end_char": 168, "id": "E3", "modality": "FACTUAL", "polarity": "POS", "type": "POS" },...	[]	[]
sent_1_201	He states that his pain has been of seven to eight durations , and rated as moderate to severe ( 7/10 ) .	257	362	201	[]	[ { "text": "states", "start_char": 3, "end_char": 9, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "his pain", "start_char": 15, "end_char": 23, "id": "E7", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_2_201	He does limp .	363	377	201	[]	[ { "text": "limp", "start_char": 8, "end_char": 12, "id": "E8", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_3_201	He does not use a cane and he requires a bannister for going up and down stairs .	378	459	201	[]	[ { "text": "a cane", "start_char": 16, "end_char": 22, "id": "E9", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "requires a bannister", "start_char": 30, "end_char": 50, "id": "E10", "modality": "FACTUAL", "polarity": "POS", "type": ...	[]	[]
sent_4_201	He has trouble with his shoes and socks .	460	501	201	[]	[ { "text": "trouble with his shoes and socks", "start_char": 7, "end_char": 39, "id": "E11", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]
sent_5_201	He uses a walker .	502	520	201	[]	[ { "text": "a walker", "start_char": 8, "end_char": 16, "id": "E12", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]	[]	[]

sent_0_162

Admission Date : 2015-09-14 Discharge Date : 2015-09-19 Service : NEONATOLOGY HISTORY OF PRESENT ILLNESS : The patient is a 3285 gm infant born at 37 5/7 weeks to a 21 year old G3 P1 now 2 mother with prenatal screens as follows : O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive ,...

0

335

162

[]

[ { "text": "Admission", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "born", "start_char": 139, "end_char": 143, "id": "E46", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...

[]

sent_1_162

Unremarkable pregnancy except for minor fullness of the left renal pelvis reported during the week prior to delivery .

336

454

162

[]

[ { "text": "minor fullness of the left renal pelvis", "start_char": 34, "end_char": 73, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "reported", "start_char": 74, "end_char": 82, "id": "E48", "modality": "FACTUAL", "polarity"...

[]

sent_2_162

Past OB history remarkable for postpartum depression .

455

509

162

[]

[ { "text": "postpartum depression", "start_char": 31, "end_char": 52, "id": "E8", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_3_162

Mother was admitted in labor .

510

540

162

[]

[ { "text": "admitted", "start_char": 11, "end_char": 19, "id": "E41", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "labor", "start_char": 23, "end_char": 28, "id": "E9", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_4_162

Baby was delivered by repeat C-section with rupture of membranes at delivery .

541

619

162

[]

[ { "text": "delivered", "start_char": 9, "end_char": 18, "id": "E49", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "repeat C-section", "start_char": 22, "end_char": 38, "id": "E10", "modality": "FACTUAL", "polarity": "POS", "type": "...

[]

sent_5_162

Apgars were 8 and 9 .

620

641

162

[]

[ { "text": "Apgars", "start_char": 0, "end_char": 6, "id": "E13", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_6_162

CMED CSRU staff was called about 30 minutes of age for grunting , flaring and retractions and the baby was admitted to the CMED CSRU .

642

776

162

[]

[ { "text": "CMED CSRU", "start_char": 0, "end_char": 9, "id": "E50", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "grunting", "start_char": 55, "end_char": 63, "id": "E14", "modality": "FACTUAL", "polarity": "POS", "type": "POS" },...

[]

sent_7_162

HOSPITAL COURSE: 1.

777

796

162

[]

sent_8_162

Respiratory .

797

810

162

[]

sent_9_162

The Athol Memorial Hospital hospital course was initially consistent with transient tachypnea of the newborn .

811

921

162

[]

[ { "text": "The Athol Memorial Hospital", "start_char": 0, "end_char": 27, "id": "E54", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "hospital course", "start_char": 28, "end_char": 43, "id": "E55", "modality": "FACTUAL", "polarity": "PO...

[]

sent_10_162

Chest x-ray revealed mild streakiness of the lung fields .

922

980

162

[]

[ { "text": "Chest x-ray", "start_char": 0, "end_char": 11, "id": "E17", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "revealed", "start_char": 12, "end_char": 20, "id": "E57", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...

[]

sent_11_162

He was initially placed on nasal cannula with subsequent resolution of respiratory distress .

981

1,074

162

[]

[ { "text": "nasal cannula", "start_char": 27, "end_char": 40, "id": "E19", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "resolution", "start_char": 57, "end_char": 67, "id": "E42", "modality": "FACTUAL", "polarity": "POS", "type": "P...

[]

sent_12_162

Nasal cannula was weaned off on day of life 3 and he initially was maintaining O2 sat above 94% and breathing comfortably .

1,075

1,198

162

[]

[ { "text": "Nasal cannula", "start_char": 0, "end_char": 13, "id": "E21", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "weaned off", "start_char": 18, "end_char": 28, "id": "E43", "modality": "FACTUAL", "polarity": "POS", "type": "PO...

[]

sent_13_162

He was subsequently placed back on nasal cannula for mild oxygen desaturation and was requiring 25 c/min flow at the time of discharge .

1,199

1,335

162

[]

[ { "text": "nasal cannula", "start_char": 35, "end_char": 48, "id": "E23", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "mild oxygen desaturation", "start_char": 53, "end_char": 77, "id": "E24", "modality": "FACTUAL", "polarity": "POS", ...

[]

sent_14_162

No apneic or brady episodes .

1,336

1,365

162

[]

[ { "text": "apneic or brady episodes", "start_char": 3, "end_char": 27, "id": "E60", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]

[]

sent_15_162

2.

1,366

1,368

162

[]

sent_16_162

Cardiovascular .

1,369

1,385

162

[]

sent_17_162

The patient 's cardiovascular status has been stable throughout his CMED CSRU stay .

1,386

1,470

162

[]

[ { "text": "stable", "start_char": 46, "end_char": 52, "id": "E61", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "his CMED CSRU stay", "start_char": 64, "end_char": 82, "id": "E62", "modality": "FACTUAL", "polarity": "POS", "type": "...

[]

sent_18_162

No murmur on exam .

1,471

1,490

162

[]

[ { "text": "murmur", "start_char": 3, "end_char": 9, "id": "E25", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "exam", "start_char": 13, "end_char": 17, "id": "E26", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_19_162

3.

1,491

1,493

162

[]

sent_20_162

FEN .

1,494

1,499

162

[]

sent_21_162

The patient had been tolerating oral feeding as of day of life 2 and is currently taking Enfamil 20 p.o.

1,500

1,604

162

[]

[ { "text": "tolerating oral feeding", "start_char": 21, "end_char": 44, "id": "E63", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "Enfamil", "start_char": 89, "end_char": 96, "id": "E27", "modality": "FACTUAL", "polarity": "POS", "ty...

[]

sent_22_162

ad lib .

1,605

1,613

162

[]

sent_23_162

He has been weaned off IV fluids and has been maintaining good blood glucose .

1,614

1,692

162

[]

[ { "text": "weaned off", "start_char": 12, "end_char": 22, "id": "E44", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "IV fluids", "start_char": 23, "end_char": 32, "id": "E28", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...

[]

sent_24_162

His birth weight was 3285 gm .

1,693

1,723

162

[]

[ { "text": "His birth weight", "start_char": 0, "end_char": 16, "id": "E29", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_25_162

His weight is 3015 gm on day of life 5 .

1,724

1,764

162

[]

[ { "text": "His weight", "start_char": 0, "end_char": 10, "id": "E30", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_26_162

4.

1,765

1,767

162

[]

sent_27_162

GI .

1,768

1,772

162

[]

sent_28_162

The patient 's bilirubin level at 24 hours of life was 4.6.

1,773

1,832

162

[]

[ { "text": "The patient 's bilirubin level", "start_char": 0, "end_char": 30, "id": "E31", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_29_162

No phototherapy was started .

1,833

1,862

162

[]

[ { "text": "phototherapy", "start_char": 3, "end_char": 15, "id": "E65", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]

[]

sent_30_162

5.

1,863

1,865

162

[]

sent_31_162

ID .

1,866

1,870

162

[]

sent_32_162

The patient was not started on antibiotics , given lack of sepsis risk factors .

1,871

1,951

162

[]

[ { "text": "antibiotics", "start_char": 31, "end_char": 42, "id": "E32", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "sepsis risk factors", "start_char": 59, "end_char": 78, "id": "E66", "modality": "FACTUAL", "polarity": "NEG", "ty...

[]

sent_33_162

His initial CBC showed no left shift .

1,952

1,990

162

[]

[ { "text": "His initial CBC", "start_char": 0, "end_char": 15, "id": "E33", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "showed", "start_char": 16, "end_char": 22, "id": "E67", "modality": "FACTUAL", "polarity": "POS", "type": "POS"...

[]

sent_34_162

Blood culture had remained no growth to date .

1,991

2,037

162

[]

[ { "text": "Blood culture", "start_char": 0, "end_char": 13, "id": "E35", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "growth", "start_char": 30, "end_char": 36, "id": "E36", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" ...

[]

sent_35_162

6.

2,038

2,040

162

[]

sent_36_162

Heme .

2,041

2,047

162

[]

sent_37_162

The patient 's initial hematocrit was 35.8 .

2,048

2,092

162

[]

[ { "text": "The patient 's initial hematocrit", "start_char": 0, "end_char": 33, "id": "E37", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_38_162

No transfusion during this admission .

2,093

2,131

162

[]

[ { "text": "transfusion", "start_char": 3, "end_char": 14, "id": "E38", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "this admission", "start_char": 22, "end_char": 36, "id": "E39", "modality": "FACTUAL", "polarity": "POS", "type": "...

[]

sent_39_162

CONDITION ON TRANSFER : The patient has been doing well on low flow nasal cannula.

2,132

2,214

162

[]

[ { "text": "TRANSFER", "start_char": 13, "end_char": 21, "id": "E68", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "well", "start_char": 51, "end_char": 55, "id": "E69", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...

[]

sent_40_162

He has been tolerating p.o.

2,215

2,242

162

[]

sent_41_162

ad lib feeds .

2,243

2,257

162

[]

sent_0_348

ADMISSION DATE : 3-26-93 DISCHARGE DATE : 4-3-93 HISTORY OF PRESENT ILLNESS : The patient is a 73 year old female who was transferred for cardiac catheterization after ventricular fibrillation arrest in the setting of an acute inferior myocardial infarction and a urinary tract infection .

0

294

348

[]

[ { "text": "ADMISSION", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "transferred", "start_char": 127, "end_char": 138, "id": "E54", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...

[]

sent_1_348

The patient was admitted on 3-16-93 to Diy Hospital for an E. coli urinary tract infection .

296

388

348

[]

[ { "text": "admitted", "start_char": 16, "end_char": 24, "id": "E45", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "Diy Hospital", "start_char": 39, "end_char": 51, "id": "E55", "modality": "FACTUAL", "polarity": "POS", "type": "POS"...

[]

sent_2_348

The patient was readmitted on 3-20-93 because of fever , chills and a sudden onset of ventricular fibrillation arrest , successfully cardioverted back to rapid atrial fibrillation and finally to sinus rhythm , where an electrocardiogram then showed ST elevation in inferior leads .

390

671

348

[]

[ { "text": "readmitted", "start_char": 16, "end_char": 26, "id": "E46", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "fever", "start_char": 49, "end_char": 54, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...

[]

sent_3_348

Peak CPK was 2494 with 18% MB 's .

673

707

348

[]

[ { "text": "Peak CPK", "start_char": 0, "end_char": 8, "id": "E12", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "MB 's", "start_char": 27, "end_char": 32, "id": "E70", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_4_348

She required intubation for mild to moderate congestive heart failure , treated with diuretics , intravenous nitroglycerin and heparin .

709

845

348

[]

[ { "text": "intubation", "start_char": 13, "end_char": 23, "id": "E14", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "mild to moderate congestive heart failure", "start_char": 28, "end_char": 69, "id": "E57", "modality": "FACTUAL", "pola...

[]

sent_5_348

She had post-infarction angina , was transferred here for angiography and possible percutaneous transluminal coronary angioplasty .

847

978

348

[]

[ { "text": "post-infarction angina", "start_char": 8, "end_char": 30, "id": "E58", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "transferred", "start_char": 37, "end_char": 48, "id": "E59", "modality": "FACTUAL", "polarity": "POS", "...

[]

sent_6_348

HOSPITAL COURSE : On 3-27-93 , patient underwent cardiac catheterization , coronary and left ventricular angiography without complications .

980

1,121

348

[]

[ { "text": "cardiac catheterization", "start_char": 50, "end_char": 73, "id": "E18", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "coronary and left ventricular angiography", "start_char": 76, "end_char": 117, "id": "E19", "modality": "FACTU...

[]

sent_7_348

Review of these angiograms demonstrated a dominant right coronary artery with a focal 50% stenosis in the mid-portion .

1,123

1,242

348

[]

[ { "text": "these angiograms", "start_char": 10, "end_char": 26, "id": "E21", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "demonstrated", "start_char": 27, "end_char": 39, "id": "E49", "modality": "FACTUAL", "polarity": "POS", "type...

[]

sent_8_348

The left main coronary artery was clear .

1,244

1,285

348

[]

sent_9_348

The left anterior descending had moderate plaques with a 50% proximal stenosis of the right anterior oblique caudal view .

1,287

1,409

348

[]

[ { "text": "moderate plaques", "start_char": 33, "end_char": 49, "id": "E23", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "a 50% proximal stenosis of the right anterior oblique caudal", "start_char": 55, "end_char": 115, "id": "E24", "modal...

[]

sent_10_348

The proximal diagonal D1 had a 50% stenosis .

1,411

1,456

348

[]

[ { "text": "a 50% stenosis", "start_char": 29, "end_char": 43, "id": "E25", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_11_348

The circumflex had a long 30% stenosis proximally and an 80% stenosis at the origin of the second major marginal artery .

1,458

1,579

348

[]

[ { "text": "a long 30% stenosis", "start_char": 19, "end_char": 38, "id": "E26", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "an 80% stenosis", "start_char": 54, "end_char": 69, "id": "E27", "modality": "FACTUAL", "polarity": "POS", ...

[]

sent_12_348

The left ventricular angiogram showed akinesis of the posterobasal walls , severe hypokinesis of the diaphragmatic wall and trace mitral regurgitation .

1,581

1,733

348

[]

[ { "text": "The left ventricular angiogram", "start_char": 0, "end_char": 30, "id": "E28", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "showed", "start_char": 31, "end_char": 37, "id": "E50", "modality": "FACTUAL", "polarity": "POS", ...

[]

sent_13_348

The patient was maintained on heparin anticoagulation .

1,735

1,790

348

[]

[ { "text": "maintained", "start_char": 16, "end_char": 26, "id": "E62", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "heparin anticoagulation", "start_char": 30, "end_char": 53, "id": "E32", "modality": "FACTUAL", "polarity": "POS", ...

[]

sent_14_348

An exercise tolerance test with Thallium was to be performed in order to assess myocardial viability in the infarct zone .

1,792

1,914

348

[]

[ { "text": "An exercise tolerance test with Thallium", "start_char": 0, "end_char": 40, "id": "E33", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "myocardial viability", "start_char": 80, "end_char": 100, "id": "E63", "modality": "FACTUAL", ...

[]

sent_15_348

The right coronary artery lesion was complex and there was severe stenosis in the obtuse marginal 1 .

1,916

2,017

348

[]

[ { "text": "The right coronary artery lesion", "start_char": 0, "end_char": 32, "id": "E35", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "severe stenosis in the obtuse marginal 1", "start_char": 59, "end_char": 99, "id": "E36", "modality": ...

[]

sent_16_348

The patient had no further angina .

2,019

2,054

348

[]

[ { "text": "further angina", "start_char": 19, "end_char": 33, "id": "E37", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]

[]

sent_17_348

On 4-2-93 , she underwent a Persantine Thallium study .

2,056

2,111

348

[]

[ { "text": "a Persantine Thallium study", "start_char": 26, "end_char": 53, "id": "E38", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_18_348

This showed no diagnostic electrocardiogram changes for ischemia and no angina pectoris .

2,113

2,202

348

[]

[ { "text": "This showed", "start_char": 0, "end_char": 11, "id": "E51", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "diagnostic electrocardiogram changes", "start_char": 15, "end_char": 51, "id": "E39", "modality": "FACTUAL", "polarity"...

[]

sent_19_348

The thallium images showed a large region of persistently reduced blood flow involving the apex and inferoposterior segments of the left ventricular wall .

2,204

2,359

348

[]

[ { "text": "The thallium images", "start_char": 0, "end_char": 19, "id": "E41", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "showed", "start_char": 20, "end_char": 26, "id": "E52", "modality": "FACTUAL", "polarity": "POS", "type": "...

[]

sent_20_348

This was consistent with scar .

2,361

2,392

348

[]

[ { "text": "scar", "start_char": 25, "end_char": 29, "id": "E43", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_21_348

There was no definite perfusion abnormality in the circumflex zone .

2,394

2,462

348

[]

[ { "text": "definite perfusion abnormality in the circumflex zone", "start_char": 13, "end_char": 66, "id": "E44", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" } ]

[]

sent_22_348

In view of these findings , it was elected to discharge her on her present medical program .

2,464

2,556

348

[]

[ { "text": "discharge", "start_char": 46, "end_char": 55, "id": "E65", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "her present medical program", "start_char": 63, "end_char": 90, "id": "E66", "modality": "FACTUAL", "polarity": "POS", ...

[]

sent_23_348

The patient is to return to the follow up care of Dr. Ko Kollciem at the Diy Hospital .

2,558

2,645

348

[]

[ { "text": "return", "start_char": 18, "end_char": 24, "id": "E67", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "the follow up care", "start_char": 28, "end_char": 46, "id": "E68", "modality": "FACTUAL", "polarity": "POS", "type": "...

[]

sent_24_348

CHPO E. JESCOBEA , M.D.

2,647

2,670

348

[]

sent_25_348

TR : sq / bmot DD : 06-13-93 TD : 06/15/93 CC : Dr. Ko Kollciem , Retchard Healthcare to Dr. Wall

2,672

2,776

348

[]

sent_0_572

Admission Date : 12/12/1996 Discharge Date : 12/16/1996 HISTORY / REASON FOR HOSPITALIZATION : The patient is a 42 year old gravida II , para I female with a long history of menorrhagia and pelvic pain .

0

203

572

[]

[ { "text": "Admission", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "menorrhagia", "start_char": 174, "end_char": 185, "id": "E2", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...

[]

sent_1_572

She also has a history of endometriosis that is symptomatic .

204

265

572

[]

[ { "text": "endometriosis", "start_char": 26, "end_char": 39, "id": "E4", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "symptomatic", "start_char": 48, "end_char": 59, "id": "E5", "modality": "FACTUAL", "polarity": "POS", "type": "PO...

[]

sent_2_572

She used Danocrine for approximately nine months and was pain free , but was unable to tolerate the side effects .

266

380

572

[]

[ { "text": "Danocrine", "start_char": 9, "end_char": 18, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "pain", "start_char": 57, "end_char": 61, "id": "E7", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { ...

[]

sent_3_572

She is status post several laparoscopies in the past with which she was diagnosed with endometriosis .

381

483

572

[]

[ { "text": "several laparoscopies", "start_char": 19, "end_char": 40, "id": "E9", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "endometriosis", "start_char": 87, "end_char": 100, "id": "E10", "modality": "FACTUAL", "polarity": "POS", ...

[]

sent_4_572

She has recently been on Depo-Provera and has had episodes of break-through bleeding for six weeks at a time .

484

594

572

[]

[ { "text": "Depo-Provera", "start_char": 25, "end_char": 37, "id": "E11", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "break-through bleeding", "start_char": 62, "end_char": 84, "id": "E12", "modality": "FACTUAL", "polarity": "POS", ...

[]

sent_5_572

She desired surgical therapy .

595

625

572

[]

[ { "text": "surgical therapy", "start_char": 12, "end_char": 28, "id": "E13", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_6_572

HOSPITAL COURSE : On 12/12/96 she had an uncomplicated total abdominal hysterectomy and bilateral salpingo-oophorectomy .

626

747

572

[]

[ { "text": "an uncomplicated total abdominal hysterectomy", "start_char": 38, "end_char": 83, "id": "E14", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "bilateral salpingo-oophorectomy", "start_char": 88, "end_char": 119, "id": "E15", "modal...

[]

sent_7_572

Estimated blood loss was 100 cc and she tolerated the procedure well .

748

818

572

[]

[ { "text": "Estimated blood loss", "start_char": 0, "end_char": 20, "id": "E16", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "the procedure", "start_char": 50, "end_char": 63, "id": "E17", "modality": "FACTUAL", "polarity": "POS", "...

[]

sent_8_572

On postop day number one she was afebrile and doing well with a PCA for pain control .

819

905

572

[]

[ { "text": "afebrile", "start_char": 33, "end_char": 41, "id": "E18", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "well", "start_char": 52, "end_char": 56, "id": "E19", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, ...

[]

sent_9_572

On postop day number two she was also afebrile and had not passed any flatus yet .

906

988

572

[]

[ { "text": "afebrile", "start_char": 38, "end_char": 46, "id": "E22", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "passed any flatus", "start_char": 59, "end_char": 76, "id": "E23", "modality": "FACTUAL", "polarity": "NEG", "type": ...

[]

sent_10_572

She was ambulating frequently .

989

1,020

572

[]

[ { "text": "ambulating frequently .", "start_char": 8, "end_char": 31, "id": "E24", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_11_572

Her hematocrit was 34.2 and stable from her preoperative value .

1,021

1,085

572

[]

[ { "text": "Her hematocrit", "start_char": 0, "end_char": 14, "id": "E25", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "stable", "start_char": 28, "end_char": 34, "id": "E26", "modality": "FACTUAL", "polarity": "POS", "type": "POS" ...

[]

sent_12_572

On postop day number three her abdomen was noted to be distended with a few bowel sounds and she still had not passed gas .

1,086

1,209

572

[]

[ { "text": "distended", "start_char": 55, "end_char": 64, "id": "E28", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "bowel sounds", "start_char": 76, "end_char": 88, "id": "E30", "modality": "FACTUAL", "polarity": "POS", "type": "POS...

[]

sent_13_572

The patient decreased the amount of Demerol she was using and supplemented with Tylenol and continued her frequent ambulation .

1,210

1,337

572

[]

[ { "text": "decreased", "start_char": 12, "end_char": 21, "id": "E34", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "Demerol", "start_char": 36, "end_char": 43, "id": "E33", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }...

[]

sent_14_572

On postop day number four she had passed flatus and was feeling much better .

1,338

1,415

572

[]

[ { "text": "flatus", "start_char": 41, "end_char": 47, "id": "E38", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "feeling much better", "start_char": 56, "end_char": 75, "id": "E39", "modality": "FACTUAL", "polarity": "POS", "type": ...

[]

sent_15_572

She was discharged to home in good condition on the following medications .

1,416

1,491

572

[]

[ { "text": "discharged", "start_char": 8, "end_char": 18, "id": "E40", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "good condition", "start_char": 30, "end_char": 44, "id": "E41", "modality": "FACTUAL", "polarity": "POS", "type": "P...

[]

sent_16_572

DISCHARGE MEDICATIONS : Demerol for pain .

1,492

1,534

572

[]

[ { "text": "Demerol", "start_char": 24, "end_char": 31, "id": "E43", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "pain", "start_char": 36, "end_char": 40, "id": "E44", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_17_572

Motrin for pain .

1,535

1,552

572

[]

[ { "text": "Motrin", "start_char": 0, "end_char": 6, "id": "E45", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "pain", "start_char": 11, "end_char": 15, "id": "E46", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_18_572

Colace stool softener .

1,553

1,576

572

[]

[ { "text": "Colace stool softener", "start_char": 0, "end_char": 21, "id": "E47", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_19_572

DISPOSITION : The patient should follow-up with Dr. Side in two weeks .

1,577

1,648

572

[]

sent_20_572

Dictated By : IEDEARC SIDE , M.D.

1,649

1,682

572

[]

sent_21_572

LB28 Attending : MITERY D. LOSS , M.D.

1,683

1,721

572

[]

sent_22_572

CB51 II795/2112 Batch : 42100 Index No.

1,722

1,761

572

[]

sent_23_572

ZMFX3O4G1 D : 01/04/97 T : 01/06/97 CC : 1.

1,762

1,805

572

[]

sent_24_572

MITERY D. LOSS , M.D.

1,806

1,827

572

[]

sent_25_572

NT11 [ report _ end ]

1,828

1,849

572

[]

sent_0_201

ADMISSION DATE : 03/11/2002 DISCHARGE DATE : 03/14/2002 DISCHARGE DATE : 03/14/2002 HISTORY OF PRESENT ILLNESS : This is a 62-year-old hospice chaplain who was referred by Dr. Tomedankell Flowayles and Dr. Es Oarekote for evaluation of his right hip pain .

0

256

201

[]

[ { "text": "ADMISSION", "start_char": 0, "end_char": 9, "id": "E0", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "referred", "start_char": 160, "end_char": 168, "id": "E3", "modality": "FACTUAL", "polarity": "POS", "type": "POS" },...

[]

sent_1_201

He states that his pain has been of seven to eight durations , and rated as moderate to severe ( 7/10 ) .

257

362

201

[]

[ { "text": "states", "start_char": 3, "end_char": 9, "id": "E6", "modality": "FACTUAL", "polarity": "POS", "type": "POS" }, { "text": "his pain", "start_char": 15, "end_char": 23, "id": "E7", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_2_201

He does limp .

363

377

201

[]

[ { "text": "limp", "start_char": 8, "end_char": 12, "id": "E8", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_3_201

He does not use a cane and he requires a bannister for going up and down stairs .

378

459

201

[]

[ { "text": "a cane", "start_char": 16, "end_char": 22, "id": "E9", "modality": "FACTUAL", "polarity": "NEG", "type": "NEG" }, { "text": "requires a bannister", "start_char": 30, "end_char": 50, "id": "E10", "modality": "FACTUAL", "polarity": "POS", "type": ...

[]

sent_4_201

He has trouble with his shoes and socks .

460

501

201

[]

[ { "text": "trouble with his shoes and socks", "start_char": 7, "end_char": 39, "id": "E11", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]

sent_5_201

He uses a walker .

502

520

201

[]

[ { "text": "a walker", "start_char": 8, "end_char": 16, "id": "E12", "modality": "FACTUAL", "polarity": "POS", "type": "POS" } ]

[]