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 6 | event_expressions listlengths 0 0 | 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": "37 5/7 weeks",
"start_char": 147,
"end_char": 159,
"id": "T3",
"type": "DURATION",
"val": "p37w5d",
"mod": "NA"
},
{
"text": "2015-09-14",
"start_char": 17,
"end_char": 27,
"id": "T0",
"type": "DATE",
"val": "2015-09-14",
"mod": "NA"
},
{
... | [] | [] | [] |
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": "the week",
"start_char": 90,
"end_char": 98,
"id": "T5",
"type": "DURATION",
"val": "p1w",
"mod": "NA"
}
] | [] | [] | [] |
sent_2_162 | Past OB history remarkable for postpartum depression . | 455 | 509 | 162 | [] | [] | [] | [] |
sent_3_162 | Mother was admitted in labor . | 510 | 540 | 162 | [] | [] | [] | [] |
sent_4_162 | Baby was delivered by repeat C-section with rupture of membranes at delivery . | 541 | 619 | 162 | [] | [] | [] | [] |
sent_5_162 | Apgars were 8 and 9 . | 620 | 641 | 162 | [] | [] | [] | [] |
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": "30 minutes",
"start_char": 33,
"end_char": 43,
"id": "T6",
"type": "DURATION",
"val": "pt30m",
"mod": "APPROX"
}
] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_10_162 | Chest x-ray revealed mild streakiness of the lung fields . | 922 | 980 | 162 | [] | [] | [] | [] |
sent_11_162 | He was initially placed on nasal cannula with subsequent resolution of respiratory distress . | 981 | 1,074 | 162 | [] | [] | [] | [] |
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": "day of life 3",
"start_char": 32,
"end_char": 45,
"id": "T7",
"type": "DATE",
"val": "2015-09-17",
"mod": "NA"
}
] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_14_162 | No apneic or brady episodes . | 1,336 | 1,365 | 162 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_18_162 | No murmur on exam . | 1,471 | 1,490 | 162 | [] | [] | [] | [] |
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": "day of life 2",
"start_char": 51,
"end_char": 64,
"id": "T1",
"type": "DATE",
"val": "2015-09-16",
"mod": "NA"
}
] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_24_162 | His birth weight was 3285 gm . | 1,693 | 1,723 | 162 | [] | [] | [] | [] |
sent_25_162 | His weight is 3015 gm on day of life 5 . | 1,724 | 1,764 | 162 | [
{
"text": "day of life 5",
"start_char": 25,
"end_char": 38,
"id": "T8",
"type": "DATE",
"val": "2015-09-19",
"mod": "NA"
}
] | [] | [] | [] |
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": "24 hours",
"start_char": 34,
"end_char": 42,
"id": "T9",
"type": "DATE",
"val": "2015-09-16",
"mod": "APPROX"
}
] | [] | [] | [] |
sent_29_162 | No phototherapy was started . | 1,833 | 1,862 | 162 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_33_162 | His initial CBC showed no left shift . | 1,952 | 1,990 | 162 | [] | [] | [] | [] |
sent_34_162 | Blood culture had remained no growth to date . | 1,991 | 2,037 | 162 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_38_162 | No transfusion during this admission . | 2,093 | 2,131 | 162 | [] | [] | [] | [] |
sent_39_162 | CONDITION ON TRANSFER :
The patient has been doing well on low flow nasal cannula. | 2,132 | 2,214 | 162 | [] | [] | [] | [] |
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": "3-26-93",
"start_char": 18,
"end_char": 25,
"id": "T0",
"type": "DATE",
"val": "1993-03-26",
"mod": "NA"
},
{
"text": "4-3-93",
"start_char": 45,
"end_char": 51,
"id": "T3",
"type": "DATE",
"val": "1993-04-03",
"mod": "NA"
}
] | [] | [] | [] |
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": "3-16-93",
"start_char": 28,
"end_char": 35,
"id": "T4",
"type": "DATE",
"val": "1993-03-16",
"mod": "NA"
}
] | [] | [] | [] |
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": "3-20-93",
"start_char": 30,
"end_char": 37,
"id": "T1",
"type": "DATE",
"val": "1993-03-20",
"mod": "NA"
}
] | [] | [] | [] |
sent_3_348 | Peak CPK was 2494 with 18% MB 's . | 673 | 707 | 348 | [] | [] | [] | [] |
sent_4_348 | She required intubation for mild to moderate congestive heart failure , treated with diuretics , intravenous nitroglycerin and heparin . | 709 | 845 | 348 | [] | [] | [] | [] |
sent_5_348 | She had post-infarction angina , was transferred here for angiography and possible percutaneous transluminal coronary angioplasty . | 847 | 978 | 348 | [] | [] | [] | [] |
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": "3-27-93",
"start_char": 22,
"end_char": 29,
"id": "T2",
"type": "DATE",
"val": "1993-03-27",
"mod": "NA"
}
] | [] | [] | [] |
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 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_10_348 | The proximal diagonal D1 had a 50% stenosis . | 1,411 | 1,456 | 348 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_13_348 | The patient was maintained on heparin anticoagulation . | 1,735 | 1,790 | 348 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_16_348 | The patient had no further angina . | 2,019 | 2,054 | 348 | [] | [] | [] | [] |
sent_17_348 | On 4-2-93 , she underwent a Persantine Thallium study . | 2,056 | 2,111 | 348 | [
{
"text": "4-2-93",
"start_char": 3,
"end_char": 9,
"id": "T5",
"type": "DATE",
"val": "1993-04-02",
"mod": "NA"
}
] | [] | [] | [] |
sent_18_348 | This showed no diagnostic electrocardiogram changes for ischemia and no angina pectoris . | 2,113 | 2,202 | 348 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_20_348 | This was consistent with scar . | 2,361 | 2,392 | 348 | [] | [] | [] | [] |
sent_21_348 | There was no definite perfusion abnormality in the circumflex zone . | 2,394 | 2,462 | 348 | [] | [] | [] | [] |
sent_22_348 | In view of these findings , it was elected to discharge her on her present medical program . | 2,464 | 2,556 | 348 | [] | [] | [] | [] |
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 | [] | [] | [] | [] |
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": "12/12/1996",
"start_char": 17,
"end_char": 27,
"id": "T0",
"type": "DATE",
"val": "1996-12-12",
"mod": "NA"
},
{
"text": "12/16/1996",
"start_char": 45,
"end_char": 55,
"id": "T1",
"type": "DATE",
"val": "1996-12-16",
"mod": "NA"
}
] | [] | [] | [] |
sent_1_572 | She also has a history of endometriosis that is symptomatic . | 204 | 265 | 572 | [] | [] | [] | [] |
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": "nine months",
"start_char": 37,
"end_char": 48,
"id": "T2",
"type": "DURATION",
"val": "P9M",
"mod": "APPROX"
}
] | [] | [] | [] |
sent_3_572 | She is status post several laparoscopies in the past with which she was diagnosed with endometriosis . | 381 | 483 | 572 | [] | [] | [] | [] |
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": "six weeks",
"start_char": 89,
"end_char": 98,
"id": "T3",
"type": "DURATION",
"val": "P6W",
"mod": "NA"
}
] | [] | [] | [] |
sent_5_572 | She desired surgical therapy . | 595 | 625 | 572 | [] | [] | [] | [] |
sent_6_572 | HOSPITAL COURSE :
On 12/12/96 she had an uncomplicated total abdominal hysterectomy and bilateral salpingo-oophorectomy . | 626 | 747 | 572 | [
{
"text": "12/12/96",
"start_char": 21,
"end_char": 29,
"id": "T4",
"type": "DATE",
"val": "1996-12-12",
"mod": "NA"
}
] | [] | [] | [] |
sent_7_572 | Estimated blood loss was 100 cc and she tolerated the procedure well . | 748 | 818 | 572 | [] | [] | [] | [] |
sent_8_572 | On postop day number one she was afebrile and doing well with a PCA for pain control . | 819 | 905 | 572 | [
{
"text": "postop day number one",
"start_char": 3,
"end_char": 24,
"id": "T5",
"type": "DATE",
"val": "1996-12-13",
"mod": "NA"
}
] | [] | [] | [] |
sent_9_572 | On postop day number two she was also afebrile and had not passed any flatus yet . | 906 | 988 | 572 | [
{
"text": "postop day number two",
"start_char": 3,
"end_char": 24,
"id": "T6",
"type": "DATE",
"val": "1996-12-14",
"mod": "NA"
}
] | [] | [] | [] |
sent_10_572 | She was ambulating frequently . | 989 | 1,020 | 572 | [] | [] | [] | [] |
sent_11_572 | Her hematocrit was 34.2 and stable from her preoperative value . | 1,021 | 1,085 | 572 | [] | [] | [] | [] |
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": "postop day number three",
"start_char": 3,
"end_char": 26,
"id": "T7",
"type": "DATE",
"val": "1996-12-15",
"mod": "NA"
}
] | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_14_572 | On postop day number four she had passed flatus and was feeling much better . | 1,338 | 1,415 | 572 | [
{
"text": "postop day number four",
"start_char": 3,
"end_char": 25,
"id": "T8",
"type": "DATE",
"val": "1996-12-16",
"mod": "NA"
}
] | [] | [] | [] |
sent_15_572 | She was discharged to home in good condition on the following medications . | 1,416 | 1,491 | 572 | [] | [] | [] | [] |
sent_16_572 | DISCHARGE MEDICATIONS :
Demerol for pain . | 1,492 | 1,534 | 572 | [] | [] | [] | [] |
sent_17_572 | Motrin for pain . | 1,535 | 1,552 | 572 | [] | [] | [] | [] |
sent_18_572 | Colace stool softener . | 1,553 | 1,576 | 572 | [] | [] | [] | [] |
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": "03/11/2002",
"start_char": 17,
"end_char": 27,
"id": "T0",
"type": "DATE",
"val": "2002-03-11",
"mod": "NA"
},
{
"text": "03/14/2002",
"start_char": 45,
"end_char": 55,
"id": "T1",
"type": "DATE",
"val": "2002-03-14",
"mod": "NA"
},
{
"t... | [] | [] | [] |
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 | [] | [] | [] | [] |
sent_2_201 | He does limp . | 363 | 377 | 201 | [] | [] | [] | [] |
sent_3_201 | He does not use a cane and he requires a bannister for going up and down stairs . | 378 | 459 | 201 | [] | [] | [] | [] |
sent_4_201 | He has trouble with his shoes and socks . | 460 | 501 | 201 | [] | [] | [] | [] |
sent_5_201 | He uses a walker . | 502 | 520 | 201 | [] | [] | [] | [] |
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